JACEK MACIEJ SOBCZAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107428

License Status

NOT RENEWED

Business

First Name

JACEK

Middle

MACIEJ

Last Name

SOBCZAK

Suffix

Business Name

JACEK MACIEJ SOBCZAK MD

Original Issue Date

07/10/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SALT LAKE CITY

State

Zip

84106

County

UTAH

Ever Disciplined

LastModifiedDate

11/06/2008