JACK ALLEN MARSHALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035483

License Status

NOT RENEWED

Business

First Name

JACK ALLEN

Last Name

MARSHALL

Suffix

Business Name

JACK ALLEN MARSHALL MD

Original Issue Date

09/10/1958

Effective Date

09/10/1958

City

LOS ANGELES

State

Zip

90012

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006