MARK ANTHONY SPEYER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048612

License Status

EXPIRED

Business

First Name

MARK

Middle

ANTHONY

Last Name

SPEYER

Suffix

Business Name

MARK ANTHONY SPEYER MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007