MARK MANDELBAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162663

License Status

ACTIVE

Business

Title

First Name

MARK

Last Name

MANDELBAUM

Business Name

MARK MANDELBAUM MD

Original Issue Date

10/21/2022

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

HANNIBAL

State

Zip

63401

Ever Disciplined

LastModifiedDate

05/31/2023