DIETZEN, CHARLES DAVID, MD
Medical - Physician
Georgia 051638 Lapsed
This Georgia license was held by DIETZEN, CHARLES DAVID, MD. The license is no longer active. It was granted on 07/12/2002 and expired on 11/30/2009
LICENSE DETAILS
- License Number: 051638
- Category: Physician
- Status: Lapsed
- Date Granted: 07/12/2002 (over 22 years ago)
- Expiry Date: 11/30/2009 (over 15 years ago)
LOCATIONS
A Address
2621 CRESTWOOD DRIVE, CHATTANOOGA 37415