MARK D GETZOFF MD 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

MARK

Middle

Last Name

GETZOFF

Suffix

Business Name

MARK D GETZOFF MD

Original Issue Date

12/06/2000

Effective Date

12/06/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006