MARK DAHLEN COUTIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069793

License Status

EXPIRED

Business

Title

First Name

MARK

Middle

DAHLEN

Last Name

COUTIN

Business Name

MARK DAHLEN COUTIN MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/19/2020