JOZEF STANISLAW MRUK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

JOZEF STANISLAW

Last Name

MRUK

Business Name

JOZEF STANISLAW MRUK

Original Issue Date

04/14/1994

Effective Date

04/14/1994

Expiration Date

07/31/1996

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006