KELLI A HERTZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039407

License Status

EXPIRED

Business

First Name

KELLI

Middle

Last Name

HERTZ

Business Name

KELLI A HERTZ

Original Issue Date

07/28/1999

Effective Date

07/28/1999

Expiration Date

07/27/2003

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006