DONALD LEE KETTWICH MD - Medical Doctor License in New Mexico | # 036054442

DONALD LEE KETTWICH MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054442

License Status

INACTIVE

Business

N

First Name

DONALD LEE

Last Name

KETTWICH

Suffix

MD

Business Name

DONALD LEE KETTWICH MD

Original Issue Date

04/14/1977

Effective Date

04/14/1977

Expiration Date

07/31/1987

State

NM

Ever Disciplined

N

LastModifiedDate

09/20/2006