HAROLD DWAYNE MARSHALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028736

License Status

EXPIRED

Business

First Name

HAROLD

Middle

DWAYNE

Last Name

MARSHALL

Suffix

Business Name

HAROLD DWAYNE MARSHALL MD

Original Issue Date

06/12/1992

Effective Date

06/12/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006