MARK JEROME GREENWALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

MARK JEROME

Last Name

GREENWALD

Suffix

Business Name

MARK JEROME GREENWALD MD

Original Issue Date

01/01/1997

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023