ETTA KATHRYN NEVEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150575

License Status

NOT RENEWED

Business

Title

First Name

ETTA

Middle

KATHRYN

Last Name

NEVEL

Business Name

ETTA KATHRYN NEVEL MD

Original Issue Date

08/24/2019

Effective Date

08/24/2019

Expiration Date

09/30/2020

City

PHOENIX

State

Zip

85020

Ever Disciplined

LastModifiedDate

01/14/2021