MARIUS M COMMODORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044566

License Status

EXPIRED

Business

Title

First Name

MARIUS

Middle

Last Name

COMMODORE

Business Name

MARIUS M COMMODORE MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2007