MARK W LI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

MARK W

Last Name

Suffix

Business Name

MARK W LI MD

Original Issue Date

07/02/1981

Effective Date

07/02/1981

Expiration Date

09/01/1982

City

HINES

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006