MARK O MCCOLLUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141778

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

Last Name

MCCOLLUM

Business Name

MARK O MCCOLLUM MD

Original Issue Date

09/28/2016

Effective Date

09/28/2016

Expiration Date

07/31/2017

City

AKRON

State

Zip

44333

County

OHIO

Ever Disciplined

LastModifiedDate

11/01/2017