MAURICE BARANCIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037254

License Status

NOT RENEWED

Business

First Name

MAURICE

Last Name

BARANCIK

Suffix

Business Name

MAURICE BARANCIK MD

Original Issue Date

09/13/1961

Effective Date

09/13/1961

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006