TYLER ANDREW MORK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053512

License Status

CANCELLED

Business

Title

First Name

TYLER

Middle

ANDREW

Last Name

MORK

Business Name

TYLER ANDREW MORK DO

Original Issue Date

06/30/2009

Effective Date

06/30/2009

Expiration Date

06/29/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/11/2009