MICHELLE ELAINE MARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074920

License Status

EXPIRED

Business

Title

First Name

MICHELLE

Middle

ELAINE

Last Name

MARK

Business Name

MICHELLE ELAINE MARK MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/30/2024