JOHN BIREN-FETZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074472

License Status

CANCELLED

Business

Title

First Name

JOHN

Last Name

BIREN-FETZ

Business Name

JOHN BIREN-FETZ DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/31/2019