MARK EDWARD AXNESS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

EDWARD

Last Name

AXNESS

Business Name

MARK EDWARD AXNESS MD

Original Issue Date

03/05/2009

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017