BENNETT J PASTIKA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077460

License Status

NOT RENEWED

Business

First Name

BENNETT J

Last Name

PASTIKA

Suffix

Business Name

BENNETT J PASTIKA DO

Original Issue Date

07/23/1988

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017