MARK DOUGLAS BONNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054084

License Status

NOT RENEWED

Business

First Name

MARK DOUGLAS

Last Name

BONNELL

Suffix

Business Name

MARK DOUGLAS BONNELL MD

Original Issue Date

01/13/1977

Effective Date

01/13/1977

Expiration Date

07/01/1982

City

KEAMS CANYON

State

Zip

86034

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006