ANDREW ROBERT KETTERER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062577

License Status

EXPIRED

Business

First Name

ANDREW

Middle

ROBERT

Last Name

KETTERER

Suffix

Business Name

ANDREW ROBERT KETTERER MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/19/2017