MARK DAVID PLUMB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

DAVID

Last Name

PLUMB

Business Name

MARK DAVID PLUMB MD

Original Issue Date

10/03/2017

Effective Date

10/03/2017

Expiration Date

09/30/2020

City

WEST ALLIS

State

Zip

53227

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021