MARK IRA EVANS MD - Medical Doctor License in New Jersey | # 036058892

MARK IRA EVANS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058892

License Status

NOT RENEWED

Business

N

First Name

MARK IRA

Last Name

EVANS

Suffix

MD

Business Name

MARK IRA EVANS MD

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

07/31/1984

State

NJ

Ever Disciplined

N

LastModifiedDate

09/20/2006