MARLON LIM HERMITANIO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098039

License Status

INACTIVE

Business

First Name

MARLON

Middle

LIM

Last Name

HERMITANIO

Suffix

Business Name

MARLON LIM HERMITANIO MD

Original Issue Date

06/15/1998

Effective Date

06/15/1998

Expiration Date

07/31/2002

City

GREEN BAY

State

Zip

54311

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006