MARK EDWIN FESENMYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

MARK

Middle

EDWIN

Last Name

FESENMYER

Suffix

Business Name

MARK EDWIN FESENMYER MD

Original Issue Date

10/17/2001

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017