VICKI LYNN MAHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102379

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

LYNN

Last Name

MAHAN

Suffix

Business Name

VICKI LYNN MAHAN MD

Original Issue Date

04/28/2000

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

NORTH WALES

State

Zip

19454

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/30/2023