MARK F BRODIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127762

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

BRODIE

Suffix

Business Name

MARK F BRODIE MD

Original Issue Date

05/03/2011

Effective Date

05/03/2011

Expiration Date

07/31/2014

City

SAN DIEGO

State

Zip

92116

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014