MATTHEW MIECZYSLAW ZAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113009

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

MIECZYSLAW

Last Name

ZAK

Suffix

Business Name

MATTHEW MIECZYSLAW ZAK MD

Original Issue Date

02/01/2005

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

EVELETH

State

Zip

55734

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/17/2014