MARK EVAN DEMUTH DO - Medical Doctor License in Kentucky | # 036110355

MARK EVAN DEMUTH DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110355

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

EVAN

Last Name

DEMUTH

Suffix

DO

Business Name

MARK EVAN DEMUTH DO

Original Issue Date

10/23/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

KY

Ever Disciplined

N

LastModifiedDate

11/14/2011