THEODORE THOMAS DEITZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170936

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

THOMAS

Last Name

DEITZ

Business Name

THEODORE THOMAS DEITZ MD

Original Issue Date

07/03/2024

Effective Date

07/03/2024

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2024