MARK THOMPSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050537

License Status

CANCELLED

Business

First Name

MARK

Last Name

THOMPSON

Suffix

Business Name

MARK THOMPSON MD

Original Issue Date

10/18/2005

Effective Date

10/18/2005

Expiration Date

10/17/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2006