MARK JAMES DEAVER M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177024

License Status

ACTIVE

Business

Title

M.D.

First Name

MARK

Middle

JAMES

Last Name

DEAVER

Business Name

MARK JAMES DEAVER M.D.

Original Issue Date

09/05/2025

Effective Date

09/05/2025

Expiration Date

07/31/2026

City

SAN DIEGO

State

Zip

92106

Ever Disciplined

LastModifiedDate

09/05/2025