MARK EDWARD DIEBEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146995

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

EDWARD

Last Name

DIEBEL

Business Name

MARK EDWARD DIEBEL MD

Original Issue Date

07/24/2018

Effective Date

07/24/2018

Expiration Date

09/30/2020

City

JACKSONVILLE

State

Zip

32256

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021