MARK STEPHEN OBERMYER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047816

License Status

CANCELLED

Business

First Name

MARK

Middle

STEPHEN

Last Name

OBERMYER

Suffix

Business Name

MARK STEPHEN OBERMYER MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006