MARK P MROCZKO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116273

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

MROCZKO

Business Name

MARK P MROCZKO

Original Issue Date

06/22/2006

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

11/01/2017