LUCJAN ANTONI MOSCICKI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032968

License Status

INACTIVE

Business

First Name

LUCJAN ANTONI

Last Name

MOSCICKI

Suffix

Business Name

LUCJAN ANTONI MOSCICKI MD

Original Issue Date

09/22/1954

Effective Date

09/22/1954

Expiration Date

07/31/1996

City

PHOENIX

State

Zip

85028

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006