MICHAEL A MARCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

MARCK

Suffix

Business Name

MICHAEL A MARCK MD

Original Issue Date

08/05/1983

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023