JULIE NINJA POLISIAKIEWICZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147287

License Status

NOT RENEWED

Business

Title

First Name

JULIE

Middle

NINJA

Last Name

POLISIAKIEWICZ

Business Name

JULIE NINJA POLISIAKIEWICZ DO

Original Issue Date

08/21/2018

Effective Date

08/21/2018

Expiration Date

09/30/2020

City

SWARTZ CREEK

State

Zip

48473

Ever Disciplined

LastModifiedDate

01/14/2021