MARC ROBERT MAYBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107918

License Status

NOT RENEWED

Business

First Name

MARC

Middle

ROBERT

Last Name

MAYBERG

Suffix

Business Name

MARC ROBERT MAYBERG MD

Original Issue Date

09/25/2002

Effective Date

09/25/2002

Expiration Date

07/31/2005

City

SEATTLE

State

Zip

98122

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/09/2006