MARK C GENESEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079276

License Status

NOT RENEWED

Business

First Name

MARK C

Last Name

GENESEN

Suffix

Business Name

MARK C GENESEN MD

Original Issue Date

08/01/1989

Effective Date

08/01/1989

Expiration Date

07/31/1996

City

OAK PARK

State

Zip

60304

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/20/2008