LAWRENCE KONICK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085135

License Status

INACTIVE

Business

First Name

LAWRENCE

Last Name

KONICK

Suffix

Business Name

LAWRENCE KONICK MD

Original Issue Date

08/12/1992

Effective Date

08/12/1992

Expiration Date

07/31/2005

City

SALEM

State

Zip

97302

County

MARION

Ever Disciplined

LastModifiedDate

10/09/2006