DAMIAN N MIZERA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000645

License Status

EXPIRED

Business

First Name

DAMIAN N

Last Name

MIZERA

Business Name

DAMIAN N MIZERA

Original Issue Date

01/03/2005

Effective Date

01/03/2005

Expiration Date

03/31/2005

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/25/2006