Mark Randolph Macknet
ExpiredCalifornia license A81707
License
- Licensed by
- Medical Board of California
- License number
- A81707
- Status
- Expired (Delinquent)
- First issued
- January 17, 2003
- Expired
- November 30, 2022
- License holder
- Mark Randolph Macknet
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
25805 Barton Rd Ste 107A
Loma Linda, CA 92354-3890
Loma Linda, CA 92354-3890
San Bernardino County