MARK C PATUSZYNSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

PATUSZYNSKI

Suffix

Business Name

MARK C PATUSZYNSKI MD

Original Issue Date

12/24/2001

Effective Date

12/24/2001

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011