MARK EDWARD WERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

MARK

Middle

EDWARD

Last Name

WERT

Suffix

Business Name

MARK EDWARD WERT MD

Original Issue Date

10/29/1999

Effective Date

10/29/1999

Expiration Date

07/31/2002

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020