MARK W FENDER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000214

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

FENDER

Business Name

MARK W FENDER

Original Issue Date

06/17/1993

Effective Date

06/17/1993

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006