MARK DANIEL WEBSTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

MARK

Middle

DANIEL

Last Name

WEBSTER

Suffix

Business Name

MARK DANIEL WEBSTER MD

Original Issue Date

10/24/2003

Effective Date

10/24/2003

Expiration Date

07/31/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006