RYAN D GENTZLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127864

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

Last Name

GENTZLER

Business Name

RYAN D GENTZLER MD

Original Issue Date

05/17/2011

Effective Date

05/17/2011

Expiration Date

07/31/2014

City

PHILADELPHIA

State

Zip

19147

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/17/2014