MARK S KOVACIK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069915

License Status

INACTIVE

Business

First Name

MARK S

Last Name

KOVACIK

Suffix

Business Name

MARK S KOVACIK MD

Original Issue Date

12/03/1984

Effective Date

12/03/1984

Expiration Date

07/31/1987

City

MADISON

State

Zip

53713

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006