MARCOM E HERREN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026000

License Status

EXPIRED

Business

First Name

MARCOM E

Last Name

HERREN

Suffix

Business Name

MARCOM E HERREN DO

Original Issue Date

08/10/1990

Effective Date

08/10/1990

Expiration Date

08/01/1992

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006