MARY JO ELINE DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124530

License Status

INACTIVE

Business

Title

First Name

MARY

Middle

Last Name

ELINE

Business Name

MARY JO ELINE DO

Original Issue Date

10/23/2009

Effective Date

10/23/2009

Expiration Date

07/31/2011

City

DULUTH

State

Zip

30097

County

GEORGIA

Ever Disciplined

LastModifiedDate

04/07/2011