MARK T BAMMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142864

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

BAMMAN

Suffix

Business Name

MARK T BAMMAN MD

Original Issue Date

04/04/2017

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

Ever Disciplined

LastModifiedDate

04/14/2023