MARK ROBERT TERRELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

MARK ROBERT

Last Name

TERRELL

Suffix

Business Name

MARK ROBERT TERRELL MD

Original Issue Date

08/14/1998

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020