INGE B KONIETZKO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085965

License Status

INACTIVE

Business

First Name

INGE B

Last Name

KONIETZKO

Suffix

Business Name

INGE B KONIETZKO MD

Original Issue Date

04/19/1993

Effective Date

04/19/1993

Expiration Date

07/31/1996

City

ATLANTIS

State

Zip

33462

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/16/2009

Case Number

2009003209

Action

Refuse To Renew

Discipline Start Date

08/06/2009