HERTA SCHROM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046643

License Status

INACTIVE

Business

First Name

HERTA

Last Name

SCHROM

Suffix

Business Name

HERTA SCHROM MD

Original Issue Date

11/16/1972

Effective Date

11/16/1972

Expiration Date

07/31/1996

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006