MARK STEPHEN JUSTUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

MARK

Middle

STEPHEN

Last Name

JUSTUS

Suffix

Business Name

MARK STEPHEN JUSTUS MD

Original Issue Date

09/14/2000

Effective Date

09/14/2000

Expiration Date

07/31/2008

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011