MARK A GARDNER Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004414

License Status

INACTIVE

Business

First Name

MARK A

Last Name

GARDNER

Business Name

MARK A GARDNER

Original Issue Date

05/05/1990

Effective Date

05/05/1990

Expiration Date

01/31/1991

City

BILOXI

State

Zip

39530

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

09/25/2006