HETZAL HARTLEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085274

License Status

INACTIVE

Business

First Name

HETZAL

Last Name

HARTLEY

Suffix

Business Name

HETZAL HARTLEY MD

Original Issue Date

09/04/1992

Effective Date

09/04/1992

Expiration Date

07/31/2005

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006