MARC A MOLIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040724

License Status

EXPIRED

Business

First Name

MARC

Middle

Last Name

MOLIS

Business Name

MARC A MOLIS

Original Issue Date

06/19/2000

Effective Date

06/19/2000

Expiration Date

06/18/2003

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006