MARK F KEVIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074459

License Status

INACTIVE

Business

First Name

MARK F

Last Name

KEVIN

Suffix

Business Name

MARK F KEVIN MD

Original Issue Date

02/06/1987

Effective Date

02/06/1987

Expiration Date

07/31/1996

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006