MARK B SMUCKLER MD - Medical Doctor License in Wisconsin | # 036044435

MARK B SMUCKLER MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044435

License Status

INACTIVE

Business

N

First Name

MARK B

Last Name

SMUCKLER

Suffix

MD

Business Name

MARK B SMUCKLER MD

Original Issue Date

07/09/1971

Effective Date

07/09/1971

Expiration Date

07/31/1987

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006