MARC RICHARD UDALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135126

License Status

NOT RENEWED

Business

Title

First Name

MARC

Middle

RICHARD

Last Name

UDALL

Business Name

MARC RICHARD UDALL MD

Original Issue Date

04/24/2014

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

NAUVOO

State

Zip

62354

County

HANCOCK

Ever Disciplined

LastModifiedDate

11/01/2017