MARION FOSSUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169354

License Status

ACTIVE

Business

Title

First Name

MARION

Last Name

FOSSUM

Business Name

MARION FOSSUM MD

Original Issue Date

03/18/2024

Effective Date

03/18/2024

Expiration Date

07/31/2026

City

MEDICAL LAKE

State

Zip

99022

Ever Disciplined

LastModifiedDate

12/12/2025