STAN A ANTKOWIAK DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066246

License Status

INACTIVE

Business

First Name

STAN A

Last Name

ANTKOWIAK

Suffix

Business Name

STAN A ANTKOWIAK DO

Original Issue Date

03/24/1983

Effective Date

03/24/1983

Expiration Date

07/31/1987

City

GREENVILLE

State

Zip

45331

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006