MARK W BATES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020614

License Status

EXPIRED

Business

First Name

MARK W

Last Name

BATES

Suffix

Business Name

MARK W BATES MD

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006