MARK DONALD PERRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132183

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

DONALD

Last Name

PERRY

Business Name

MARK DONALD PERRY MD

Original Issue Date

04/01/2013

Effective Date

08/04/2020

Expiration Date

07/31/2023

City

LEWISTON

State

Zip

14092

Ever Disciplined

LastModifiedDate

11/30/2023