MARK JUSTIN RAPOPORT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JUSTIN

Last Name

RAPOPORT

Suffix

Business Name

MARK JUSTIN RAPOPORT MD

Original Issue Date

08/05/2010

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014