MARCUS T PERRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099601

License Status

NOT RENEWED

Business

First Name

MARCUS

Middle

Last Name

PERRY

Suffix

Business Name

MARCUS T PERRY MD

Original Issue Date

02/05/1999

Effective Date

02/05/1999

Expiration Date

07/31/2005

City

ELM GROVE

State

Zip

53122

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006