BRETT HERZOG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153509

License Status

ACTIVE

Business

Title

First Name

BRETT

Last Name

HERZOG

Business Name

BRETT HERZOG MD

Original Issue Date

06/26/2020

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/12/2023