MARK CARROLL MORRIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029406

License Status

EXPIRED

Business

First Name

MARK

Middle

CARROLL

Last Name

MORRIS

Suffix

Business Name

MARK CARROLL MORRIS MD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/25/1996

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006