ROMAN MISIOW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039183

License Status

INACTIVE

Business

First Name

ROMAN

Last Name

MISIOW

Suffix

Business Name

ROMAN MISIOW MD

Original Issue Date

08/17/1964

Effective Date

08/17/1964

Expiration Date

07/31/1990

City

LAGUNA NIGUEL

State

Zip

92677

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006