MARK J CORSALE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063454

License Status

INACTIVE

Business

First Name

MARK J

Last Name

CORSALE

Business Name

MARK J CORSALE

Original Issue Date

10/23/1981

Effective Date

10/23/1981

Expiration Date

07/31/1987

City

COLUMBIA

State

Zip

29202

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006