MARK I BLOCK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020925

License Status

EXPIRED

Business

First Name

MARK I

Last Name

BLOCK

Suffix

Business Name

MARK I BLOCK MD

Original Issue Date

05/18/1987

Effective Date

05/18/1987

Expiration Date

06/25/1990

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006