MARK DOUGLAS EMENECKER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104851

License Status

ACTIVE

Business

First Name

MARK

Middle

DOUGLAS

Last Name

EMENECKER

Suffix

Business Name

MARK DOUGLAS EMENECKER DO

Original Issue Date

05/30/2001

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

04/15/2023