GINA LYNN DIETRICH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106243

License Status

ACTIVE

Business

First Name

GINA

Middle

LYNN

Last Name

DIETRICH

Suffix

Business Name

GINA LYNN DIETRICH DO

Original Issue Date

02/07/2002

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

04/06/2023