VIKTORIJA MICKANS MD - Medical Doctor License in New York | # 036035198

VIKTORIJA MICKANS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035198

License Status

INACTIVE

Business

N

First Name

VIKTORIJA

Last Name

MICKANS

Suffix

MD

Business Name

VIKTORIJA MICKANS MD

Original Issue Date

05/29/1958

Effective Date

05/29/1958

Expiration Date

07/31/1987

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006