JEFFREY WILLIAM HARTWIG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052126

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

WILLIAM

Last Name

HARTWIG

Suffix

Business Name

JEFFREY WILLIAM HARTWIG DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/16/2007