MARVIN T PIERCE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024789

License Status

EXPIRED

Business

First Name

MARVIN

Middle

Last Name

PIERCE

Business Name

MARVIN T PIERCE

Original Issue Date

05/16/1990

Effective Date

05/16/1990

Expiration Date

04/30/1993

City

N CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006