JOHN ADAM DIETRICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070958

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

ADAM

Last Name

DIETRICK

Suffix

Business Name

JOHN ADAM DIETRICK MD

Original Issue Date

06/24/1985

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

TAMPA

State

Zip

33613

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017