PETER S KONCHAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066750

License Status

ACTIVE

Business

First Name

PETER S

Last Name

KONCHAK

Suffix

Business Name

PETER S KONCHAK DO

Original Issue Date

06/29/1983

Effective Date

09/18/2024

Expiration Date

07/31/2026

City

MOUNT LAUREL

State

Zip

08054

Ever Disciplined

LastModifiedDate

09/18/2024