MARK L MONTEFERRANTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137191

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

Last Name

MONTEFERRANTE

Business Name

MARK L MONTEFERRANTE MD

Original Issue Date

01/30/2015

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

FAIRFAX

State

Zip

22030

Ever Disciplined

LastModifiedDate

04/25/2023