LICENSE CATEGORY
Medical Board
2
LICENSE SUBCATEGORY
25.Telemedicine - Doctor of...
108
33.LMT - C-D group
26
33.LMT - E-G group
11
33.LMT - L-M group
6
33.LMT - S group
3
33.LMT - T-Z group
34.Doctor of Osteopathic...
35.Doctor of Medicine
1
36.Doctor of Podiatric Medicine
50.Physician Assistant
82.Special Activity
JURISDICTION
Ohio
STATUSES
Inactive
LOCALITIES
New York
15
Pittsburgh
Philadelphia
10
Baltimore
9
Nashville
Louisville
Lexington
Indianapolis
8
Ann Arbor
Saginaw
7
Dallas
Houston
Denver
Las Vegas
ST LOUIS
FIRST LETTER
Floyd David Fortuin Jr.
Ohio (Phoenix) - Medical Board - 82.Special Activity Inactive
Edward Bronson Diethrich