PHILLIP D BRETZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055297

License Status

NOT RENEWED

Business

First Name

PHILLIP D

Last Name

BRETZ

Suffix

Business Name

PHILLIP D BRETZ MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/31/1987

City

LA QUINTA

State

Zip

92253

Ever Disciplined

LastModifiedDate

09/20/2006