MARK K MYERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

MARK K

Last Name

MYERS

Suffix

Business Name

MARK K MYERS MD

Original Issue Date

07/05/1996

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

OREGON

State

Zip

61061

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023