MARK LEWIS PFAUTSCH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077507

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

LEWIS

Last Name

PFAUTSCH

Business Name

MARK LEWIS PFAUTSCH DO

Original Issue Date

07/29/1988

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

CAPE GIRARDEAU

State

Zip

63703

Ever Disciplined

LastModifiedDate

06/05/2023