BRIAN WAYNE GOELITZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111087

License Status

INACTIVE

Business

First Name

BRIAN

Middle

WAYNE

Last Name

GOELITZ

Suffix

Business Name

BRIAN WAYNE GOELITZ MD

Original Issue Date

03/25/2004

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

SAN DIEGO

State

Zip

92130

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/07/2011