MARK AEPPLI VAN ETTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062616

License Status

NOT RENEWED

Business

First Name

MARK AEPPLI

Last Name

VAN ETTEN

Suffix

Business Name

MARK AEPPLI VAN ETTEN MD

Original Issue Date

07/27/1981

Effective Date

07/27/1981

Expiration Date

07/31/1984

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006