SUSAN G MARANTZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083808

License Status

INACTIVE

Business

First Name

SUSAN G

Last Name

MARANTZ

Suffix

Business Name

SUSAN G MARANTZ MD

Original Issue Date

12/05/1991

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

SEBASTOPOL

State

Zip

95472

Ever Disciplined

LastModifiedDate

04/05/2020