JOHN E DITZENBERGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129866

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

Last Name

DITZENBERGER

Business Name

JOHN E DITZENBERGER MD

Original Issue Date

03/28/2012

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

FISHKILL

State

Zip

12524

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021