MARK D LOCKE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026388

License Status

EXPIRED

Business

First Name

MARK D

Last Name

LOCKE

Business Name

MARK D LOCKE

Original Issue Date

05/03/1991

Effective Date

05/03/1991

Expiration Date

06/19/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006