MARC ROBERT MAYBERG MD - Medical Doctor License in Washington | # 036107918

MARC ROBERT MAYBERG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107918

License Status

NOT RENEWED

Business

N

First Name

MARC

Middle

ROBERT

Last Name

MAYBERG

Suffix

MD

Business Name

MARC ROBERT MAYBERG MD

Original Issue Date

09/25/2002

Effective Date

09/25/2002

Expiration Date

07/31/2005

State

WA

Ever Disciplined

N

LastModifiedDate

10/09/2006