CHERYL A WALCZAK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066856

License Status

INACTIVE

Business

First Name

CHERYL A

Last Name

WALCZAK

Suffix

Business Name

CHERYL A WALCZAK MD

Original Issue Date

06/30/1983

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

SOUTH OGDEN

State

Zip

84403

County

UTAH

Ever Disciplined

LastModifiedDate

04/05/2020