MARK JACOB PERLOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041791

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

JACOB

Last Name

PERLOW

Business Name

MARK JACOB PERLOW MD

Original Issue Date

07/01/1968

Effective Date

05/27/2014

Expiration Date

07/31/2017

City

CINCINNATI

State

Zip

45219

County

HAMILTON

Ever Disciplined

LastModifiedDate

11/01/2017