MARK S GEDDEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129186

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

Last Name

GEDDEN

Business Name

MARK S GEDDEN DO

Original Issue Date

11/04/2011

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

MONTICELLO

State

Zip

53570

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021