KYLE P ETZKORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078359

License Status

NOT RENEWED

Business

First Name

KYLE P

Last Name

ETZKORN

Suffix

Business Name

KYLE P ETZKORN MD

Original Issue Date

01/24/1989

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

JACKSONVILLE

State

Zip

32207

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014