KATHERINE ELIZABETH HERZOG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056031

License Status

EXPIRED

Business

Title

First Name

KATHERINE

Middle

ELIZABETH

Last Name

HERZOG

Business Name

KATHERINE ELIZABETH HERZOG MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

08/29/2012