MARK GEOFFREY WAHRENBROCK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060925

License Status

EXPIRED

Business

Title

First Name

MARK

Middle

GEOFFREY

Last Name

WAHRENBROCK

Business Name

MARK GEOFFREY WAHRENBROCK MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/04/2015