MARK LETICA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022755

License Status

EXPIRED

Business

First Name

MARK

Last Name

LETICA

Business Name

MARK LETICA

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006