JOHN N GIETZEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

Last Name

GIETZEN

Business Name

JOHN N GIETZEN DO

Original Issue Date

01/26/2022

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

NEW GLARUS

State

Zip

53574

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023