JASON MICHAEL NITKE DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109514

License Status

INACTIVE

Business

First Name

JASON

Middle

MICHAEL

Last Name

NITKE

Suffix

Business Name

JASON MICHAEL NITKE DO

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

07/31/2005

City

GREEN BAY

State

Zip

54311

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006