FREDRICK MICHAEL HETZEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159828

License Status

ACTIVE

Business

Title

First Name

FREDRICK

Middle

MICHAEL

Last Name

HETZEL

Business Name

FREDRICK MICHAEL HETZEL MD

Original Issue Date

03/17/2022

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/08/2023