MARK S HANTOOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

HANTOOT

Suffix

Business Name

MARK S HANTOOT MD

Original Issue Date

08/27/1993

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011