ERIKA R KETTELER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111594

License Status

NOT RENEWED

Business

First Name

ERIKA

Middle

Last Name

KETTELER

Suffix

Business Name

ERIKA R KETTELER MD

Original Issue Date

06/10/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ALBUQUERQUE

State

Zip

87108

Ever Disciplined

LastModifiedDate

11/06/2008