TIMOTHY MICHAEL KETTERHAGEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137365

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

MICHAEL

Last Name

KETTERHAGEN

Business Name

TIMOTHY MICHAEL KETTERHAGEN MD

Original Issue Date

02/19/2015

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/19/2023