MARK YOUNGBLOOD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074135

License Status

CANCELLED

Business

Title

First Name

MARK

Last Name

YOUNGBLOOD

Business Name

MARK YOUNGBLOOD MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

06/22/2025

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

02/14/2022