MARK MINER BROOK 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

Last Name

MINER BROOK

Suffix

Business Name

MARK MINER BROOK MD

Original Issue Date

03/31/1997

Effective Date

03/31/1997

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008