MARK EDWIN FESENMYER MD - Medical Doctor License in Indiana | # 036105597

MARK EDWIN FESENMYER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105597

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

EDWIN

Last Name

FESENMYER

Suffix

MD

Business Name

MARK EDWIN FESENMYER MD

Original Issue Date

09/18/2001

Effective Date

05/19/2014

Expiration Date

07/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

11/01/2017