MARK ALFONSO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151343

License Status

ACTIVE

Business

Title

First Name

MARK

Last Name

ALFONSO

Business Name

MARK ALFONSO MD

Original Issue Date

12/12/2019

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

NEW ALBANY

State

Zip

43054

County

FRANKLIN

Ever Disciplined

LastModifiedDate

07/04/2023