MLADEN PERAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109190

License Status

NOT RENEWED

Business

First Name

MLADEN

Last Name

PERAK

Suffix

Business Name

MLADEN PERAK MD

Original Issue Date

05/06/2003

Effective Date

05/06/2003

Expiration Date

07/31/2005

City

DODGE CITY

State

Zip

67801

County

KANSAS

Ever Disciplined

LastModifiedDate

10/09/2006