William Bennett Ennen
ExpiredCalifornia license A104930
License
- Licensed by
- Medical Board of California
- License number
- A104930
- Status
- Expired (Delinquent)
- First issued
- July 24, 2008
- Expired
- January 31, 2022
- License holder
- William Bennett Ennen
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
4661 McKinney Ct
Park City, UT 84098-8515
Park City, UT 84098-8515
Summit County