DANA LEA HARTWIGSEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120801

License Status

NOT RENEWED

Business

First Name

DANA

Middle

LEA

Last Name

HARTWIGSEN

Suffix

Business Name

DANA LEA HARTWIGSEN DO

Original Issue Date

05/07/2008

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/01/2017