MARK DAVID PLUMB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144103

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

DAVID

Last Name

PLUMB

Business Name

MARK DAVID PLUMB MD

Original Issue Date

08/15/2017

Effective Date

08/15/2017

Expiration Date

09/30/2020

City

MILWAUKEE

State

Zip

53208

Ever Disciplined

LastModifiedDate

01/14/2021