MARK J CORSALE - Medical Doctor License in South Carolina | # 036063454

MARK J CORSALE

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063454

License Status

INACTIVE

Business

N

First Name

MARK J

Last Name

CORSALE

Business Name

MARK J CORSALE

Original Issue Date

10/23/1981

Effective Date

10/23/1981

Expiration Date

07/31/1987

State

SC

Ever Disciplined

N

LastModifiedDate

09/20/2006