RONALD M BUKOWSKI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107659

License Status

INACTIVE

Business

First Name

RONALD

Middle

Last Name

BUKOWSKI

Suffix

Business Name

RONALD M BUKOWSKI MD

Original Issue Date

08/09/2002

Effective Date

08/09/2002

Expiration Date

07/31/2005

City

CLEVELAND

State

Zip

44195

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006