WILLIAM S MICKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121877

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

MICKA

Suffix

Business Name

WILLIAM S MICKA MD

Original Issue Date

08/29/2008

Effective Date

08/29/2008

Expiration Date

07/31/2011

City

SAINT LOUIS

State

Zip

63116

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2011