MARK DAVID LIVAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060588

License Status

CANCELLED

Business

Title

First Name

MARK

Middle

DAVID

Last Name

LIVAK

Business Name

MARK DAVID LIVAK MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/12/2014