MARK L BOETTGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066496

License Status

NOT RENEWED

Business

First Name

MARK L

Last Name

BOETTGER

Suffix

Business Name

MARK L BOETTGER MD

Original Issue Date

05/12/1983

Effective Date

05/12/1983

Expiration Date

07/31/1987

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006