HEATHER THERESE FRITZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049715

License Status

CANCELLED

Business

First Name

HEATHER

Middle

THERESE

Last Name

FRITZ

Suffix

Business Name

HEATHER THERESE FRITZ DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006