MARK STEPHEN OBERMYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

MARK

Middle

STEPHEN

Last Name

OBERMYER

Suffix

Business Name

MARK STEPHEN OBERMYER MD

Original Issue Date

05/15/2007

Effective Date

05/15/2007

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008