MARK L DAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

MARK L

Last Name

DAY

Business Name

MARK L DAY MD

Original Issue Date

02/02/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

WOOD RIVER

State

Zip

62095

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020