JOHN JOSEPH PTACEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042202

License Status

NOT RENEWED

Business

First Name

JOHN JOSEPH

Last Name

PTACEK

Suffix

Business Name

JOHN JOSEPH PTACEK MD

Original Issue Date

10/23/1968

Effective Date

10/23/1968

City

NEVADA

State

Zip

50201

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006