JUSTIN THOMAS DIEDRICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145127

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

THOMAS

Last Name

DIEDRICH

Business Name

JUSTIN THOMAS DIEDRICH MD

Original Issue Date

02/15/2018

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

PASADENA

State

Zip

91101

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/24/2023