OWEN M RENNERT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038572

License Status

INACTIVE

Business

First Name

OWEN M

Last Name

RENNERT

Suffix

Business Name

OWEN M RENNERT MD

Original Issue Date

09/05/1963

Effective Date

09/05/1963

Expiration Date

07/31/1987

City

OKLAHOMA CITY

State

Zip

73190

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/20/2006