PATRICIA ANN DIETZGEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164324

License Status

ACTIVE

Business

Title

First Name

PATRICIA

Middle

ANN

Last Name

DIETZGEN

Business Name

PATRICIA ANN DIETZGEN DO

Original Issue Date

04/11/2023

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

DILLON

State

Zip

80443

Ever Disciplined

LastModifiedDate

04/11/2023