ROGER T PACANOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048445

License Status

NOT RENEWED

Business

First Name

ROGER T

Last Name

PACANOWSKI

Suffix

Business Name

ROGER T PACANOWSKI MD

Original Issue Date

10/06/1973

Effective Date

10/06/1973

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006