DAVID IRA MARGOLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056880

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

IRA

Last Name

MARGOLIN

Suffix

Business Name

DAVID IRA MARGOLIN MD

Original Issue Date

06/28/1978

Effective Date

06/28/1978

Expiration Date

07/31/1984

City

PORTLAND

State

Zip

97219

Ever Disciplined

LastModifiedDate

09/20/2006