MARY R FLACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072750

License Status

NOT RENEWED

Business

First Name

MARY R

Last Name

FLACK

Suffix

Business Name

MARY R FLACK MD

Original Issue Date

05/20/1986

Effective Date

05/20/1986

Expiration Date

07/31/1990

City

WASHINGTON

State

Zip

20009

County

DISTRICT OF COLUMBIA

Ever Disciplined

LastModifiedDate

09/20/2006