MARK ALVIN KEROACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALVIN

Last Name

KEROACK

Suffix

Business Name

MARK ALVIN KEROACK MD

Original Issue Date

08/01/2001

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014