WALTER IHOR MELNYCZENKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060955

License Status

NOT RENEWED

Business

First Name

WALTER

Middle

IHOR

Last Name

MELNYCZENKO

Suffix

Business Name

WALTER IHOR MELNYCZENKO MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/2005

City

GREENDALE

State

Zip

53129

Ever Disciplined

LastModifiedDate

01/14/2014

Case Number

2010003689

Action

Refuse To Renew

Discipline Start Date

07/06/2010

Discipline Reason

due to a sister-state discipline.