PETER RANDOLPH LICHTENTHAL MD - Medical Doctor License in Arizona | # 036056704

PETER RANDOLPH LICHTENTHAL MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056704

License Status

INACTIVE

Business

N

First Name

PETER RANDOLPH

Last Name

LICHTENTHAL

Suffix

MD

Business Name

PETER RANDOLPH LICHTENTHAL MD

Original Issue Date

04/17/1978

Effective Date

05/15/2008

Expiration Date

07/31/2011

State

AZ

Ever Disciplined

N

LastModifiedDate

04/07/2011