JACK R BUZEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072236

License Status

NOT RENEWED

Business

First Name

JACK R

Last Name

BUZEK

Suffix

Business Name

JACK R BUZEK MD

Original Issue Date

01/14/1986

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/01/2017