MARK THOMAS DUFFY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095095

License Status

NOT RENEWED

Business

First Name

MARK THOMAS

Last Name

DUFFY

Suffix

Business Name

MARK THOMAS DUFFY MD

Original Issue Date

03/19/1997

Effective Date

03/19/1997

Expiration Date

07/31/2005

City

GREEN BAY

State

Zip

54307

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006