MARK K SANTILLAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113017

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

SANTILLAN

Suffix

Business Name

MARK K SANTILLAN MD

Original Issue Date

02/02/2005

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

IOWA CITY

State

Zip

52245

County

IOWA

Ever Disciplined

LastModifiedDate

04/08/2014