SCOTT MICHAEL HARBICK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096785

License Status

NOT RENEWED

Business

First Name

SCOTT MICHAEL

Last Name

HARBICK

Business Name

SCOTT MICHAEL HARBICK

Original Issue Date

10/06/1997

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

APPLETON

State

Zip

54913

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014