MARK P ILTIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084881

License Status

NOT RENEWED

Business

First Name

MARK P

Last Name

ILTIS

Suffix

Business Name

MARK P ILTIS MD

Original Issue Date

07/16/1992

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

LECLAIRE

State

Zip

52753

County

IOWA

Ever Disciplined

LastModifiedDate

08/02/2024