JACK MARVIN BETTENHAUSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039207

License Status

NOT RENEWED

Business

First Name

JACK MARVIN

Last Name

BETTENHAUSEN

Suffix

Business Name

JACK MARVIN BETTENHAUSEN MD

Original Issue Date

08/17/1964

Effective Date

08/17/1964

City

ORANGE

State

Zip

90740

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006