MITZI R KROCKOVER Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078325

License Status

INACTIVE

Business

First Name

MITZI R

Last Name

KROCKOVER

Business Name

MITZI R KROCKOVER

Original Issue Date

01/10/1989

Effective Date

01/10/1989

Expiration Date

07/31/1990

City

LOS ANGELES

State

Zip

90012

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006