MARK L BRANCEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000010

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

BRANCEL

Business Name

MARK L BRANCEL

Original Issue Date

12/21/1994

Effective Date

12/21/1994

Expiration Date

05/16/1995

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/23/2006