GREG L ICHTERTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065561

License Status

NOT RENEWED

Business

First Name

GREG L

Last Name

ICHTERTZ

Suffix

Business Name

GREG L ICHTERTZ MD

Original Issue Date

10/29/1982

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

HATTIESBURG

State

Zip

39402

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

11/17/2014