MARTHA L COLVILLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145682

License Status

NOT RENEWED

Business

Title

First Name

MARTHA

Middle

Last Name

COLVILLE

Business Name

MARTHA L COLVILLE MD

Original Issue Date

04/09/2018

Effective Date

04/09/2018

Expiration Date

09/30/2020

City

MOUNTAIN VIEW

State

Zip

65548

Ever Disciplined

LastModifiedDate

01/14/2021