ETHAN R ETNYRE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084173

License Status

INACTIVE

Business

First Name

ETHAN R

Last Name

ETNYRE

Suffix

Business Name

ETHAN R ETNYRE MD

Original Issue Date

03/27/1992

Effective Date

03/27/1992

Expiration Date

07/31/1993

City

SANTA MARIA

State

Zip

93454

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006