JERZY WALCZYK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038441

License Status

NOT RENEWED

Business

First Name

JERZY

Last Name

WALCZYK

Suffix

Business Name

JERZY WALCZYK MD

Original Issue Date

06/17/1963

Effective Date

06/17/1963

City

MANHASSET

State

Zip

11030

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006