MARK S KERMGARD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

KERMGARD

Business Name

MARK S KERMGARD

Original Issue Date

09/12/1996

Effective Date

09/12/1996

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020