PATRICK EDWARD MUCK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105192

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

EDWARD

Last Name

MUCK

Business Name

PATRICK EDWARD MUCK

Original Issue Date

07/11/2001

Effective Date

07/11/2001

Expiration Date

07/31/2002

City

FLORENCE

State

Zip

41042

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/15/2011