MARK E QUERY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061934

License Status

CANCELLED

Business

Title

First Name

MARK

Middle

Last Name

QUERY

Business Name

MARK E QUERY MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

01/21/2015