VINCENT PAUL HERZOG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082985

License Status

NOT RENEWED

Business

First Name

VINCENT PAUL

Last Name

HERZOG

Suffix

Business Name

VINCENT PAUL HERZOG DO

Original Issue Date

07/16/1991

Effective Date

07/16/1991

Expiration Date

07/31/1993

City

FOREST PARK

State

Zip

60130

County

WILL

Ever Disciplined

LastModifiedDate

09/20/2006