ANDREE BORLE WALCZAK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034344

License Status

INACTIVE

Business

First Name

ANDREE BORLE

Last Name

WALCZAK

Suffix

Business Name

ANDREE BORLE WALCZAK MD

Original Issue Date

10/08/1956

Effective Date

10/08/1956

Expiration Date

07/31/1993

City

DUNE ACRES

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006