J MARK KIRK DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061150

License Status

INACTIVE

Business

First Name

J MARK

Last Name

KIRK

Suffix

Business Name

J MARK KIRK DO

Original Issue Date

10/31/1980

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

MADISON

State

Zip

35758

County

ALABAMA

Ever Disciplined

LastModifiedDate

04/08/2014