VINCENT PAUL HERZOG DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025221

License Status

EXPIRED

Business

First Name

VINCENT PAUL

Last Name

HERZOG

Suffix

Business Name

VINCENT PAUL HERZOG DO

Original Issue Date

05/29/1990

Effective Date

05/29/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006