MARK A DE SILVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021151

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

DE SILVA

Suffix

Business Name

MARK A DE SILVA MD

Original Issue Date

06/06/1987

Effective Date

06/06/1987

Expiration Date

07/01/1990

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006