PHILLIP D BRETZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

CANCELLED

Business

First Name

PHILLIP D

Last Name

BRETZ

Suffix

Business Name

PHILLIP D BRETZ MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

LA QUINTA

State

Zip

92253

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006