ROBERT NOLAN HETZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017002

License Status

EXPIRED

Business

First Name

ROBERT

Middle

NOLAN

Last Name

HETZ

Suffix

Business Name

ROBERT NOLAN HETZ MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

07/01/1986

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006