MARK ROBITAILLE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001197

License Status

CANCELLED

Business

Title

First Name

MARK

Last Name

ROBITAILLE

Business Name

MARK ROBITAILLE MD

Original Issue Date

03/12/2018

Effective Date

03/12/2018

Expiration Date

04/11/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/15/2018