JACK M KATZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066297

License Status

INACTIVE

Business

First Name

JACK M

Last Name

KATZ

Suffix

Business Name

JACK M KATZ MD

Original Issue Date

03/25/1983

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/11/2017

Case Number

2003006929

Action

Fine

Discipline Start Date

12/12/2003