MARK IRA EVANS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058892

License Status

NOT RENEWED

Business

First Name

MARK IRA

Last Name

EVANS

Suffix

Business Name

MARK IRA EVANS MD

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

07/31/1984

City

FORT LEE

State

Zip

07024

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006