MARK P MROCZKO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

MROCZKO

Business Name

MARK P MROCZKO

Original Issue Date

06/27/2006

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

EUREKA

State

Zip

61530

County

WOODFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017