MARK B SMUCKLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044435

License Status

INACTIVE

Business

First Name

MARK B

Last Name

SMUCKLER

Suffix

Business Name

MARK B SMUCKLER MD

Original Issue Date

07/09/1971

Effective Date

07/09/1971

Expiration Date

07/31/1987

City

MILWAUKEE

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006