CARY HERBERT MIELKE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147018

License Status

INACTIVE

Business

Title

First Name

CARY

Middle

HERBERT

Last Name

MIELKE

Business Name

CARY HERBERT MIELKE MD

Original Issue Date

07/25/2018

Effective Date

07/25/2018

Expiration Date

09/30/2020

City

SHREVEPORT

State

Zip

71106

Ever Disciplined

LastModifiedDate

09/13/2020