FREDERICK J BARTIZAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047381

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

Last Name

BARTIZAL

Suffix

Business Name

FREDERICK J BARTIZAL MD

Original Issue Date

07/26/1973

Effective Date

07/26/1973

Expiration Date

07/31/1982

City

NEENAH

State

Zip

54956

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/07/2009

Case Number

2009004818

Action

Refuse To Renew

Discipline Start Date

08/07/2009

Discipline Reason

due to a sister-state discipline; eff 08/07/2009