ANTONI J GOFRON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094538

License Status

INACTIVE

Business

First Name

ANTONI J

Last Name

GOFRON

Suffix

Business Name

ANTONI J GOFRON MD

Original Issue Date

11/19/1996

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MILWAUKEE

State

Zip

53202

Ever Disciplined

LastModifiedDate

04/17/2008