MARK J WITECK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083631

License Status

INACTIVE

Business

First Name

MARK J

Last Name

WITECK

Suffix

Business Name

MARK J WITECK MD

Original Issue Date

10/16/1991

Effective Date

09/01/2020

Expiration Date

07/31/2023

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

09/01/2020