MARK N COSLOW DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038006023

License Status

INACTIVE

Business

First Name

MARK N

Last Name

COSLOW

Suffix

Business Name

MARK N COSLOW DC

Original Issue Date

09/05/1987

Effective Date

09/05/1987

Expiration Date

07/31/1990

City

FORT WAYNE

State

Zip

46805

County

INDIANA

Ever Disciplined

LastModifiedDate

09/21/2006