MARK PACKER MD - Medical Doctor License in Oregon | # 036124639

MARK PACKER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124639

License Status

NOT RENEWED

Business

N

First Name

MARK

Last Name

PACKER

Suffix

MD

Business Name

MARK PACKER MD

Original Issue Date

11/18/2009

Effective Date

11/18/2009

Expiration Date

07/31/2011

State

OR

Ever Disciplined

N

LastModifiedDate

11/14/2011