License holder summary

KIETZMAN, TIMOTHY JOHN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for KIETZMAN, TIMOTHY JOHN, MD is 620 INDIAN KNOLL RD, WEST CHICAGO 60185. This doctor license is not current. The license was granted 06/02/1994 and expired on 12/31/1999.

Georgia

Composite Medical Board

KIETZMAN, TIMOTHY JOHN, MD
Medical - Physician
License number
038533
Date granted
06/02/1994
Date expires
12/31/1999
Class
Medical - Physician
Status
Lapsed
Address
620 INDIAN KNOLL RD
georgiadoctors.net
ID 38056347
LAST UPDATED 2024-02-11 18:32:27 UTC

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