MARK C RACE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092423

License Status

INACTIVE

Business

First Name

MARK C

Last Name

RACE

Suffix

Business Name

MARK C RACE MD

Original Issue Date

02/09/1996

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

TYLER

State

Zip

75703

Ever Disciplined

LastModifiedDate

04/09/2014