PETER RANDOLPH LICHTENTHAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056704

License Status

INACTIVE

Business

First Name

PETER RANDOLPH

Last Name

LICHTENTHAL

Suffix

Business Name

PETER RANDOLPH LICHTENTHAL MD

Original Issue Date

04/17/1978

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

TUCSON

State

Zip

85718

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/07/2011