MARK H GOTFRIED MD - Medical Doctor License in Arizona | # 036057661

MARK H GOTFRIED MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057661

License Status

INACTIVE

Business

N

First Name

MARK H

Last Name

GOTFRIED

Suffix

MD

Business Name

MARK H GOTFRIED MD

Original Issue Date

09/25/1978

Effective Date

09/25/1978

Expiration Date

07/31/1987

State

AZ

Ever Disciplined

N

LastModifiedDate

09/20/2006