MARK S KERMGARD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

KERMGARD

Business Name

MARK S KERMGARD

Original Issue Date

12/14/1995

Effective Date

12/14/1995

Expiration Date

07/31/1996

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020