MARK D AUSTIN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

AUSTIN

Suffix

Business Name

MARK D AUSTIN DO

Original Issue Date

06/21/1990

Effective Date

06/21/1990

Expiration Date

07/31/1999

City

ADDISON

State

Zip

60101

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020