HARRY C DIETZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000471

License Status

EXPIRED

Business

First Name

HARRY

Middle

Last Name

DIETZ

Suffix

Business Name

HARRY C DIETZ MD

Original Issue Date

07/13/2023

Effective Date

07/13/2023

Expiration Date

07/16/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Cardiac Surgery

Ever Disciplined

LastModifiedDate

03/06/2024