BRIAN KONOWALCHUK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158069

License Status

ACTIVE

Business

Title

First Name

BRIAN

Last Name

KONOWALCHUK

Business Name

BRIAN KONOWALCHUK MD

Original Issue Date

08/19/2021

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

MANITOWOC

State

Zip

54220

Ever Disciplined

LastModifiedDate

08/03/2023