MARK A MUCKWAY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092249

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

MUCKWAY

Suffix

Business Name

MARK A MUCKWAY MD

Original Issue Date

12/14/1995

Effective Date

12/14/1995

Expiration Date

07/31/1996

City

TERRE HAUTE

State

Zip

47802

Ever Disciplined

LastModifiedDate

01/26/2011