MARK PETER ANSTADT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133268

License Status

ACTIVE

Business

First Name

MARK

Middle

PETER

Last Name

ANSTADT

Suffix

Business Name

MARK PETER ANSTADT MD

Original Issue Date

06/12/2013

Effective Date

08/26/2023

Expiration Date

07/31/2026

City

DAYTON

State

Zip

45409

County

OHIO

Ever Disciplined

LastModifiedDate

08/26/2023