MARK A HOSTETLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

CANCELLED

Business

First Name

MARK A

Last Name

HOSTETLER

Suffix

Business Name

MARK A HOSTETLER MD

Original Issue Date

04/24/2003

Effective Date

08/14/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011