GEORGE OLIVER DETARNOWSKY JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055108

License Status

NOT RENEWED

Business

First Name

GEORGE OLIVER

Last Name

DETARNOWSKY JR

Suffix

Business Name

GEORGE OLIVER DETARNOWSKY JR MD

Original Issue Date

07/18/1977

Effective Date

07/18/1977

Expiration Date

07/31/1984

City

FOUNTAIN VALLEY

State

Zip

92708

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006