MARK JUSTIN RAPOPORT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119048

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JUSTIN

Last Name

RAPOPORT

Suffix

Business Name

MARK JUSTIN RAPOPORT MD

Original Issue Date

07/24/2007

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

EAST GRAND RAPIDS

State

Zip

49506

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/17/2014