ERICH N MUSSAK MD - Medical Doctor License in Wisconsin | # 125055115

ERICH N MUSSAK MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055115

License Status

CANCELLED

Business

N

Title

MD

First Name

ERICH

Middle

N

Last Name

MUSSAK

Business Name

ERICH N MUSSAK MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

State

WI

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

05/28/2008