MARK KLUK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

MARK

Last Name

KLUK

Business Name

MARK KLUK MD

Original Issue Date

06/10/2019

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

JACKSON

State

Zip

49201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023