DANIEL MARTIN TKACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

DANIEL MARTIN

Last Name

TKACH

Suffix

Business Name

DANIEL MARTIN TKACH MD

Original Issue Date

02/24/1995

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

PADUCAH

State

Zip

42001

County

KENTUCKY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014