MARK R MIKOLS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157669

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

Last Name

MIKOLS

Business Name

MARK R MIKOLS DO

Original Issue Date

07/13/2021

Effective Date

07/13/2021

Expiration Date

07/31/2023

City

SEATTLE

State

Zip

98111

Ever Disciplined

LastModifiedDate

11/30/2023