MICHAL JERZY WAC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121656

License Status

NOT RENEWED

Business

Title

First Name

MICHAL

Middle

JERZY

Last Name

WAC

Business Name

MICHAL JERZY WAC MD

Original Issue Date

08/05/2008

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

AURORA

State

Zip

80017

County

COLORADO

Ever Disciplined

LastModifiedDate

11/17/2014