ADAM SERGIWA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101832

License Status

INACTIVE

Business

First Name

ADAM

Last Name

SERGIWA

Suffix

Business Name

ADAM SERGIWA MD

Original Issue Date

01/21/2000

Effective Date

01/21/2000

Expiration Date

07/31/2002

City

LA PORTE

State

Zip

46352

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006