MARTHA BONNIE PANKOVICH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111659

License Status

INACTIVE

Business

First Name

MARTHA

Middle

BONNIE

Last Name

PANKOVICH

Suffix

Business Name

MARTHA BONNIE PANKOVICH MD

Original Issue Date

06/22/2004

Effective Date

06/05/2008

Expiration Date

07/31/2011

City

SEATTLE

State

Zip

98136

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

05/20/2011