TODD FORREST RITZMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041520

License Status

EXPIRED

Business

First Name

TODD

Middle

FORREST

Last Name

RITZMAN

Business Name

TODD FORREST RITZMAN

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/19/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006