MICHAEL JOHN MANDZUIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155038

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

MANDZUIK

Business Name

MICHAEL JOHN MANDZUIK MD

Original Issue Date

12/14/2020

Effective Date

12/14/2020

Expiration Date

07/31/2023

City

EVERETT

State

Zip

98201

Ever Disciplined

LastModifiedDate

11/30/2023