GEORGE MARTIN MIKS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039302

License Status

INACTIVE

Business

First Name

GEORGE MARTIN

Last Name

MIKS

Suffix

Business Name

GEORGE MARTIN MIKS MD

Original Issue Date

08/17/1964

Effective Date

08/17/1964

Expiration Date

07/31/1987

City

CHISHOLM

State

Zip

55719

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006