DAVID MICHAEL KOWALCZYK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147526

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

KOWALCZYK

Business Name

DAVID MICHAEL KOWALCZYK MD

Original Issue Date

10/01/2018

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

MARION

State

Zip

52302

Ever Disciplined

LastModifiedDate

01/14/2021