MARK JACOB PERLOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

JACOB

Last Name

PERLOW

Business Name

MARK JACOB PERLOW MD

Original Issue Date

04/27/1999

Effective Date

01/25/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017