JUSTIN THOMAS DIEDRICH MD - Medical Doctor License in California | # 036145127

JUSTIN THOMAS DIEDRICH MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145127

License Status

ACTIVE

Business

N

Title

MD

First Name

JUSTIN

Middle

THOMAS

Last Name

DIEDRICH

Business Name

JUSTIN THOMAS DIEDRICH MD

Original Issue Date

02/15/2018

Effective Date

04/24/2023

Expiration Date

07/31/2026

State

CA

Ever Disciplined

N

LastModifiedDate

04/24/2023