License holder summary

PARK ELLIOTT DIETZ is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for PARK ELLIOTT DIETZ is Newport Beach CA 92663. This medical practitioner license is not current. The license was granted 06/17/1977 and expired on 12/31/2004.

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

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