JASON MICHAEL NITKE DO - Medical Doctor License in Wisconsin | # 036109514

JASON MICHAEL NITKE DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109514

License Status

INACTIVE

Business

N

First Name

JASON

Middle

MICHAEL

Last Name

NITKE

Suffix

DO

Business Name

JASON MICHAEL NITKE DO

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

07/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006