MARK C SANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

MARK C

Last Name

SANDERSON

Suffix

Business Name

MARK C SANDERSON MD

Original Issue Date

12/11/1990

Effective Date

12/11/1990

Expiration Date

07/31/1993

City

MADISON

State

Zip

53792

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006