ERWIN M PATLAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032137

License Status

NOT RENEWED

Business

First Name

ERWIN M

Last Name

PATLAK

Suffix

Business Name

ERWIN M PATLAK MD

Original Issue Date

08/26/1956

Effective Date

08/26/1956

Expiration Date

07/31/2002

City

JACKSONVILLE

State

Zip

28540

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/09/2006