MARK PACKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124639

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

PACKER

Suffix

Business Name

MARK PACKER MD

Original Issue Date

11/18/2009

Effective Date

11/18/2009

Expiration Date

07/31/2011

City

EUGENE

State

Zip

97401

County

OREGON

Ever Disciplined

LastModifiedDate

11/14/2011