MARK J MARZANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

MARZANO

Suffix

Business Name

MARK J MARZANO MD

Original Issue Date

05/10/1983

Effective Date

05/10/1983

Expiration Date

07/31/1999

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2011