MARK DENISON BALDWIN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

DENISON

Last Name

BALDWIN

Business Name

MARK DENISON BALDWIN DO

Original Issue Date

06/24/1986

Effective Date

06/24/1986

Expiration Date

07/31/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2015