MARK F SASSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095621

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

SASSE

Suffix

Business Name

MARK F SASSE MD

Original Issue Date

06/12/1997

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

VERONA

State

Zip

53593

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2011