MARC A MOLIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

MARC

Middle

Last Name

MOLIS

Business Name

MARC A MOLIS

Original Issue Date

04/07/2003

Effective Date

04/07/2003

Expiration Date

07/31/2005

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006