MARK THOMAS BEHNAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051557

License Status

EXPIRED

Business

Title

First Name

MARK

Middle

THOMAS

Last Name

BEHNAM

Business Name

MARK THOMAS BEHNAM MD

Original Issue Date

06/15/2006

Effective Date

06/15/2006

Expiration Date

06/14/2009

City

BRUCETON MILLS

State

Zip

26525

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/15/2009