DIMITRI D KUZNETSOV Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102024

License Status

NOT RENEWED

Business

First Name

DIMITRI

Middle

Last Name

KUZNETSOV

Business Name

DIMITRI D KUZNETSOV

Original Issue Date

02/23/2000

Effective Date

02/23/2000

Expiration Date

07/31/2005

City

PORT TOWNSEND

State

Zip

98368

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/09/2006