MARC ALAN BOOTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109395

License Status

NOT RENEWED

Business

First Name

MARC

Middle

ALAN

Last Name

BOOTH

Suffix

Business Name

MARC ALAN BOOTH MD

Original Issue Date

06/11/2003

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

11/17/2014