JOHN ADAM DIETRICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

ADAM

Last Name

DIETRICK

Suffix

Business Name

JOHN ADAM DIETRICK MD

Original Issue Date

05/23/2003

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

TAMPA

State

Zip

33613

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017