OTIS ALLEN PLUNK JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117362

License Status

INACTIVE

Business

Title

First Name

OTIS

Middle

ALLEN

Last Name

PLUNK

Suffix

Business Name

OTIS ALLEN PLUNK JR MD

Original Issue Date

12/20/2006

Effective Date

12/20/2006

Expiration Date

07/31/2008

City

ATLANTA

State

Zip

30328

County

FULTON

Ever Disciplined

LastModifiedDate

02/14/2011