JAMIE LEA KAZMIERZAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124238

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

LEA

Last Name

KAZMIERZAK

Suffix

Business Name

JAMIE LEA KAZMIERZAK MD

Original Issue Date

08/17/2009

Effective Date

08/17/2009

Expiration Date

07/31/2011

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2011