MARC BARRY HERSHENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

MARC BARRY

Last Name

HERSHENSON

Suffix

Business Name

MARC BARRY HERSHENSON MD

Original Issue Date

12/13/1982

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

ANN ARBOR

State

Zip

48104

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017