MARK E FRUIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072022

License Status

INACTIVE

Business

First Name

MARK E

Last Name

FRUIN

Suffix

Business Name

MARK E FRUIN MD

Original Issue Date

11/22/1985

Effective Date

11/22/1985

Expiration Date

07/31/1990

City

FARMINGTON

State

Zip

84025

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006