TINA RIZACK Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103210

License Status

INACTIVE

Business

First Name

TINA

Last Name

RIZACK

Business Name

TINA RIZACK

Original Issue Date

08/07/2000

Effective Date

08/07/2000

Expiration Date

07/31/2002

City

PROVIDENCE

State

Zip

02906

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006