JEROME MICHAEL MARCHUK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052924

License Status

INACTIVE

Business

First Name

JEROME MICHAEL

Last Name

MARCHUK

Suffix

Business Name

JEROME MICHAEL MARCHUK MD

Original Issue Date

07/15/1976

Effective Date

07/15/1976

Expiration Date

07/31/1987

City

RIVERDALE

State

Zip

30274

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006