MARK BERNARD SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131320

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

BERNARD

Last Name

SMITH

Business Name

MARK BERNARD SMITH MD

Original Issue Date

09/06/2012

Effective Date

09/06/2012

Expiration Date

07/31/2014

State

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2012005991

Action

Fine

Discipline Start Date

08/28/2012

Discipline Reason

after being disciplined by the Alaska State Medical Board for his failure to disclose information on his licensing application.