MARK A HACKNEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114676

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

HACKNEY

Suffix

Business Name

MARK A HACKNEY MD

Original Issue Date

09/29/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FAIRMONT

State

Zip

26554

Ever Disciplined

LastModifiedDate

11/06/2008