ANITA I LENZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042578

License Status

NOT RENEWED

Business

First Name

ANITA I

Last Name

LENZ

Suffix

Business Name

ANITA I LENZ MD

Original Issue Date

07/01/1969

Effective Date

07/01/1969

City

LARAMIE

State

Zip

82070

County

WYOMING

Ever Disciplined

LastModifiedDate

09/20/2006