ANASTAS MUKOSKI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099836

License Status

INACTIVE

Business

First Name

ANASTAS

Last Name

MUKOSKI

Suffix

Business Name

ANASTAS MUKOSKI MD

Original Issue Date

03/12/1999

Effective Date

03/12/1999

Expiration Date

07/31/2002

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006