BRIAN D HERTZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017738

License Status

EXPIRED

Business

First Name

BRIAN D

Last Name

HERTZ

Suffix

Business Name

BRIAN D HERTZ MD

Original Issue Date

12/17/1984

Effective Date

12/17/1984

Expiration Date

12/10/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006