GEORGE MYCHASKIW DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147598

License Status

NOT RENEWED

Business

Title

First Name

GEORGE

Last Name

MYCHASKIW

Business Name

GEORGE MYCHASKIW DO

Original Issue Date

10/17/2018

Effective Date

10/17/2018

Expiration Date

09/30/2020

City

RIDGELAND

State

Zip

39157

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021