MARK E GONWA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021786

License Status

EXPIRED

Business

Title

First Name

MARK

Middle

Last Name

GONWA

Business Name

MARK E GONWA MD

Original Issue Date

12/29/1987

Effective Date

12/29/1987

Expiration Date

01/16/1991

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/23/2007