SUSAN KATHLEEN DIETZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097317

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

KATHLEEN

Last Name

DIETZ

Suffix

Business Name

SUSAN KATHLEEN DIETZ MD

Original Issue Date

02/24/1998

Effective Date

02/24/1998

Expiration Date

07/31/2002

City

ANCHORAGE

State

Zip

99507

County

ALASKA

Ever Disciplined

LastModifiedDate

02/03/2007

Case Number

2005006724

Action

Refuse To Renew

Discipline Start Date

12/28/2005

Discipline Reason

Sister-state discipline.