MARK T POLLARD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019938

License Status

EXPIRED

Business

First Name

MARK T

Last Name

POLLARD

Business Name

MARK T POLLARD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

07/01/1989

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006