CARL FREDERICK DIENER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037913

License Status

NOT RENEWED

Business

First Name

CARL FREDERICK

Last Name

DIENER

Suffix

Business Name

CARL FREDERICK DIENER MD

Original Issue Date

09/13/1962

Effective Date

09/13/1962

City

TUCSON

State

Zip

85710

County

ARKANSAS

Ever Disciplined

LastModifiedDate

09/20/2006