MARK D WESTFALL DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077583

License Status

INACTIVE

Business

First Name

MARK D

Last Name

WESTFALL

Suffix

Business Name

MARK D WESTFALL DO

Original Issue Date

08/06/1988

Effective Date

10/09/2008

Expiration Date

07/31/2011

City

NEENAH

State

Zip

54956

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/07/2011