MARK O MCCOLLUM MD - Medical Doctor License in Ohio | # 036141778

MARK O MCCOLLUM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141778

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MARK

Middle

O

Last Name

MCCOLLUM

Business Name

MARK O MCCOLLUM MD

Original Issue Date

09/28/2016

Effective Date

09/28/2016

Expiration Date

07/31/2017

State

OH

Ever Disciplined

N

LastModifiedDate

11/01/2017