JOSHUA TIMOTHY KLUETZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052734

License Status

CANCELLED

Business

First Name

JOSHUA

Middle

TIMOTHY

Last Name

KLUETZ

Suffix

Business Name

JOSHUA TIMOTHY KLUETZ DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/02/2007