GINA LYNN DIETRICH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000478

License Status

EXPIRED

Business

First Name

GINA

Middle

LYNN

Last Name

DIETRICH

Suffix

Business Name

GINA LYNN DIETRICH DO

Original Issue Date

05/01/2000

Effective Date

05/01/2000

Expiration Date

05/31/2000

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006