BRIAN WAYNE GOELITZ MD - Medical Doctor License in California | # 036111087

BRIAN WAYNE GOELITZ MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111087

License Status

INACTIVE

Business

N

First Name

BRIAN

Middle

WAYNE

Last Name

GOELITZ

Suffix

MD

Business Name

BRIAN WAYNE GOELITZ MD

Original Issue Date

03/25/2004

Effective Date

07/23/2008

Expiration Date

07/31/2011

State

CA

Ever Disciplined

N

LastModifiedDate

04/07/2011