MARK S KOVACIK MD - Medical Doctor License in Wisconsin | # 036069915

MARK S KOVACIK MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069915

License Status

INACTIVE

Business

N

First Name

MARK S

Last Name

KOVACIK

Suffix

MD

Business Name

MARK S KOVACIK MD

Original Issue Date

12/03/1984

Effective Date

12/03/1984

Expiration Date

07/31/1987

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006