DAVID JOHN HETZEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000076

License Status

EXPIRED

Business

First Name

DAVID

Middle

JOHN

Last Name

HETZEL

Suffix

Business Name

DAVID JOHN HETZEL MD

Original Issue Date

01/22/1999

Effective Date

01/22/1999

Expiration Date

05/31/1999

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006