JOHN W WITCZAK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078575

License Status

NOT RENEWED

Business

First Name

JOHN W

Last Name

WITCZAK

Suffix

Business Name

JOHN W WITCZAK DO

Original Issue Date

03/18/1989

Effective Date

03/18/1989

Expiration Date

07/31/1996

City

GRESHAM

State

Zip

97030

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006