MARK LOREN FEHR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

MARK

Middle

LOREN

Last Name

FEHR

Suffix

Business Name

MARK LOREN FEHR MD

Original Issue Date

06/02/2011

Effective Date

05/13/2014

Expiration Date

07/31/2017

City

CREST HILL

State

Zip

60403

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017