ALBERT J DIETZ JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095508

License Status

NOT RENEWED

Business

First Name

ALBERT J

Last Name

DIETZ JR

Suffix

Business Name

ALBERT J DIETZ JR MD

Original Issue Date

05/27/1997

Effective Date

07/21/2008

Expiration Date

07/31/2011

City

RICHMOND

State

Zip

60071

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/14/2011