ARKOM TIVORSAK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101547

License Status

INACTIVE

Business

First Name

ARKOM

Last Name

TIVORSAK

Suffix

Business Name

ARKOM TIVORSAK MD

Original Issue Date

10/29/1999

Effective Date

10/29/1999

Expiration Date

07/31/2005

City

ATCHISON

State

Zip

66002

County

KANSAS

Ever Disciplined

LastModifiedDate

10/09/2006