MARK SISCO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

MARK

Last Name

SISCO

Business Name

MARK SISCO MD

Original Issue Date

08/13/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023