LAURA E T HETZLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049497

License Status

EXPIRED

Business

First Name

LAURA

Middle

E T

Last Name

HETZLER

Suffix

Business Name

LAURA E T HETZLER MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

07/15/2009