JONATHAN TERRY MARSHALL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049221

License Status

CANCELLED

Business

First Name

JONATHAN

Middle

TERRY

Last Name

MARSHALL

Suffix

Business Name

JONATHAN TERRY MARSHALL DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

SCOTTSDALE

State

Zip

85254

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/19/2008