MARCY L STREET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084122

License Status

NOT RENEWED

Business

First Name

MARCY L

Last Name

STREET

Suffix

Business Name

MARCY L STREET MD

Original Issue Date

03/18/1992

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

OKEMOS

State

Zip

48864

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021