KATHERINE LIETZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127613

License Status

NOT RENEWED

Business

First Name

KATHERINE

Last Name

LIETZ

Suffix

Business Name

KATHERINE LIETZ MD

Original Issue Date

04/19/2011

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

NORFOLK

State

Zip

23504

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/17/2014