MARK ALAN SAVAGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032774

License Status

EXPIRED

Business

Title

First Name

MARK

Middle

ALAN

Last Name

SAVAGE

Business Name

MARK ALAN SAVAGE MD

Original Issue Date

05/25/1995

Effective Date

05/25/1995

Expiration Date

06/30/1998

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006