MARK SUPINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116901

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

SUPINO

Suffix

Business Name

MARK SUPINO MD

Original Issue Date

09/12/2006

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

MIAMI BEACH

State

Zip

33139

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017