JAMES EDWARD MACIOCH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056428

License Status

ACTIVE

Business

First Name

JAMES EDWARD

Last Name

MACIOCH

Suffix

Business Name

JAMES EDWARD MACIOCH DO

Original Issue Date

02/23/1978

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/13/2023