MARK DAVID EAST DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069417

License Status

INACTIVE

Business

First Name

MARK

Middle

DAVID

Last Name

EAST

Suffix

Business Name

MARK DAVID EAST DO

Original Issue Date

09/04/1984

Effective Date

09/04/1984

Expiration Date

07/31/1987

City

OSAGE BEACH

State

Zip

65065

Ever Disciplined

LastModifiedDate

03/27/2007