MARK J GARWIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

MARK J

Last Name

GARWIN

Suffix

Business Name

MARK J GARWIN MD

Original Issue Date

10/05/2016

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62903

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023