KENNETH JOSEPH MROCZEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100629

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

JOSEPH

Last Name

MROCZEK

Suffix

Business Name

KENNETH JOSEPH MROCZEK MD

Original Issue Date

07/13/1999

Effective Date

07/13/1999

Expiration Date

07/31/2002

City

STATEN ISLAND

State

Zip

10305

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006