MARK RICHARD GILDENHAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057655

License Status

NOT RENEWED

Business

First Name

MARK RICHARD

Last Name

GILDENHAR

Suffix

Business Name

MARK RICHARD GILDENHAR MD

Original Issue Date

09/25/1978

Effective Date

09/25/1978

Expiration Date

07/01/1982

City

TALOMA

State

Zip

98498

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006