MARK LAWRENCE KRICHEFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113893

License Status

NOT RENEWED

Business

First Name

MARK

Middle

LAWRENCE

Last Name

KRICHEFF

Suffix

Business Name

MARK LAWRENCE KRICHEFF MD

Original Issue Date

06/16/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

GRANGER

State

Zip

46530

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2011