MARK RUDOLPH FISTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

MARK

Middle

RUDOLPH

Last Name

FISTER

Suffix

Business Name

MARK RUDOLPH FISTER MD

Original Issue Date

04/04/2001

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

MOUNT PLEASANT

State

Zip

29466

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023