DARIUSZ P BULCZAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119789

License Status

NOT RENEWED

Business

First Name

DARIUSZ

Middle

Last Name

BULCZAK

Suffix

Business Name

DARIUSZ P BULCZAK MD

Original Issue Date

12/06/2007

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/14/2021