MARK L ROOME Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

MARK L

Last Name

ROOME

Business Name

MARK L ROOME

Original Issue Date

10/19/1992

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021