ERIC MENZNER DORN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163156

License Status

INACTIVE

Business

Title

First Name

ERIC

Middle

MENZNER

Last Name

DORN

Business Name

ERIC MENZNER DORN MD

Original Issue Date

12/12/2022

Effective Date

12/12/2022

Expiration Date

07/31/2023

City

FOX POINT

State

Zip

53217

Ever Disciplined

LastModifiedDate

04/04/2023