MARK FULLER SEWELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130056

License Status

INACTIVE

Business

Title

First Name

MARK

Middle

FULLER

Last Name

SEWELL

Business Name

MARK FULLER SEWELL MD

Original Issue Date

04/12/2012

Effective Date

04/12/2012

Expiration Date

07/31/2014

City

PINEHURST

State

Zip

28374

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

04/08/2014