MARK GERARD GARZON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

MARK

Middle

GERARD

Last Name

GARZON

Suffix

Business Name

MARK GERARD GARZON MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

07/31/2011

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011