MARK A HACKBARTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

HACKBARTH

Suffix

Business Name

MARK A HACKBARTH MD

Original Issue Date

03/20/1985

Effective Date

03/20/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006