MARK L MARTIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081486

License Status

ACTIVE

Business

First Name

MARK L

Last Name

MARTIN

Suffix

Business Name

MARK L MARTIN DO

Original Issue Date

09/15/1990

Effective Date

08/25/2023

Expiration Date

07/31/2026

City

ALTURA

State

Zip

55910

Ever Disciplined

LastModifiedDate

08/25/2023