MARK W BATES 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 W

Last Name

BATES

Suffix

Business Name

MARK W BATES MD

Original Issue Date

08/24/1988

Effective Date

08/24/1988

Expiration Date

07/31/1996

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006