STEVEN M MARDJETKO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

CANCELLED

Business

First Name

STEVEN M

Last Name

MARDJETKO

Suffix

Business Name

STEVEN M MARDJETKO MD

Original Issue Date

11/16/1988

Effective Date

11/16/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60635

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020