DONALD LEE KETTWICH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054442

License Status

INACTIVE

Business

First Name

DONALD LEE

Last Name

KETTWICH

Suffix

Business Name

DONALD LEE KETTWICH MD

Original Issue Date

04/14/1977

Effective Date

04/14/1977

Expiration Date

07/31/1987

City

ALBUQUERQUE

State

Zip

87106

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006