License holder summary

Dr. DIRK ENTZIAN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. DIRK ENTZIAN is 100 South Ashley Drive Tampa FL 33602. This licensed professional license is current. The license was granted 02/06/2012 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. DIRK ENTZIAN
Board Of Medicine
License number
M-11566
Date granted
02/06/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
100 South Ashley Drive Tampa FL 33602
idaholicensing.com
ID 48353859
LAST UPDATED 2024-04-04 05:37:33 UTC

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