ETHEL SUSAN HERSKOVIC DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130829

License Status

ACTIVE

Business

Title

First Name

ETHEL

Middle

SUSAN

Last Name

HERSKOVIC

Business Name

ETHEL SUSAN HERSKOVIC DO

Original Issue Date

07/12/2012

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

08/26/2024