DAVID ANDREW DUSEK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050160

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

ANDREW

Last Name

DUSEK

Business Name

DAVID ANDREW DUSEK MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

SWANSEA

State

Zip

62226

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006