MARK CHANDRAN FLAUBERT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074810

License Status

CANCELLED

Business

Title

First Name

MARK

Middle

CHANDRAN

Last Name

FLAUBERT

Business Name

MARK CHANDRAN FLAUBERT MD

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

06/21/2022

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2019