MATTHEW JASON GRACZYK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120728

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

JASON

Last Name

GRACZYK

Business Name

MATTHEW JASON GRACZYK MD

Original Issue Date

04/25/2008

Effective Date

04/25/2008

Expiration Date

07/31/2011

City

MINNEAPOLIS

State

Zip

55404

Ever Disciplined

LastModifiedDate

11/14/2011