MARK T HOUSTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

MARK T

Last Name

HOUSTON

Suffix

Business Name

MARK T HOUSTON MD

Original Issue Date

08/08/1984

Effective Date

08/08/1984

Expiration Date

07/31/1996

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006