DOROTA ELZBIETA PUCYK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102243

License Status

INACTIVE

Business

First Name

DOROTA

Middle

ELZBIETA

Last Name

PUCYK

Suffix

Business Name

DOROTA ELZBIETA PUCYK MD

Original Issue Date

03/30/2000

Effective Date

03/30/2000

Expiration Date

07/31/2002

City

COLUMBIA

State

Zip

65203

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006