MARK RICHARD GAZALL DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102664

License Status

INACTIVE

Business

First Name

MARK

Middle

RICHARD

Last Name

GAZALL

Suffix

Business Name

MARK RICHARD GAZALL DO

Original Issue Date

06/12/2000

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

LUTHERVILLE

State

Zip

21093

Ever Disciplined

LastModifiedDate

07/15/2014