MARK ALAN SIERRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALAN

Last Name

SIERRA

Suffix

Business Name

MARK ALAN SIERRA MD

Original Issue Date

05/31/2005

Effective Date

05/31/2005

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008