ANDRZEJ JAN WASIAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101406

License Status

NOT RENEWED

Business

First Name

ANDRZEJ

Middle

JAN

Last Name

WASIAK

Suffix

Business Name

ANDRZEJ JAN WASIAK MD

Original Issue Date

10/04/1999

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

11/17/2014