Department of State
Board of Medicine
PARK ELLIOTT DIETZ
Medical Physician And Surgeon
License number
MD019311E
Date granted
06/17/1977
Date expires
12/31/2004
Class
Medical Physician And Surgeon
Status
Expired
Address
Newport Beach CA 92663
medicinepa.com
ID 37601173
LAST UPDATED 2024-03-14 15:32:14 UTC
LAST UPDATED 2024-03-14 15:32:14 UTC
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