BRUCE M HERTZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018680

License Status

EXPIRED

Business

First Name

BRUCE M

Last Name

HERTZ

Business Name

BRUCE M HERTZ

Original Issue Date

06/20/1985

Effective Date

06/20/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006