MARK D GIDEONSEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031366

License Status

EXPIRED

Business

First Name

MARK D

Last Name

GIDEONSEN

Business Name

MARK D GIDEONSEN

Original Issue Date

05/23/1994

Effective Date

05/23/1994

Expiration Date

06/19/1997

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006