MARK F KEVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

MARK F

Last Name

KEVIN

Suffix

Business Name

MARK F KEVIN MD

Original Issue Date

03/11/1987

Effective Date

03/11/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006