MARK CHRISTIAN MARGIOTTA DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005117

License Status

INACTIVE

Business

First Name

MARK

Middle

CHRISTIAN

Last Name

MARGIOTTA

Suffix

DPM

Business Name

MARK CHRISTIAN MARGIOTTA DPM

Original Issue Date

03/25/2003

Effective Date

03/25/2003

Expiration Date

01/31/2005

City

BROKEN ARROW

State

Zip

74014

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/09/2006