MARK A SHAWNIK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020979

License Status

EXPIRED

Business

Title

First Name

MARK A

Last Name

SHAWNIK

Business Name

MARK A SHAWNIK DO

Original Issue Date

05/23/1987

Effective Date

05/23/1987

Expiration Date

07/01/1990

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006