MARK JONATHAN HALSTED Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124088

License Status

ACTIVE

Business

First Name

MARK

Middle

JONATHAN

Last Name

HALSTED

Business Name

MARK JONATHAN HALSTED

Original Issue Date

07/22/2009

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CINCINNATI

State

Zip

45202

Ever Disciplined

LastModifiedDate

07/19/2023