MARK DANIEL WEBSTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

MARK

Middle

DANIEL

Last Name

WEBSTER

Suffix

Business Name

MARK DANIEL WEBSTER MD

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

07/31/2005

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006