MARK S WAINWRIGHT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

WAINWRIGHT

Business Name

MARK S WAINWRIGHT

Original Issue Date

06/22/2004

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021