DONALD CHARLES DWOREK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129364

License Status

NOT RENEWED

Business

Title

First Name

DONALD

Middle

CHARLES

Last Name

DWOREK

Business Name

DONALD CHARLES DWOREK DO

Original Issue Date

12/14/2011

Effective Date

12/14/2011

Expiration Date

07/31/2014

City

WILLIAMSPORT

State

Zip

17701

Ever Disciplined

LastModifiedDate

11/17/2014