ROBERT DIETZ TETIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044365

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

DIETZ

Last Name

TETIK

Suffix

Business Name

ROBERT DIETZ TETIK MD

Original Issue Date

07/01/1971

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2003006979

Action

Probation

Discipline Start Date

01/28/2004

Discipline End Date

01/27/2007

Discipline Reason

Failed to meet the CME requirements for renewal of his license.