ONNA G KONICEK DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128496

License Status

INACTIVE

Business

Title

First Name

ONNA

Middle

Last Name

KONICEK

Business Name

ONNA G KONICEK DO

Original Issue Date

07/14/2011

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

DAYTONA BEACH

State

Zip

32118

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/08/2014