MARK J HERST Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061037

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

HERST

Business Name

MARK J HERST

Original Issue Date

09/26/1980

Effective Date

09/26/1980

Expiration Date

07/31/1990

City

SCOTTSDALE

State

Zip

85251

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006