MARK DAVID EAST DO - Medical Doctor License in Missouri | # 036069417

MARK DAVID EAST DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069417

License Status

INACTIVE

Business

N

First Name

MARK

Middle

DAVID

Last Name

EAST

Suffix

DO

Business Name

MARK DAVID EAST DO

Original Issue Date

09/04/1984

Effective Date

09/04/1984

Expiration Date

07/31/1987

State

MO

Ever Disciplined

N

LastModifiedDate

03/27/2007