ANDIA MITRI RENZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075573

License Status

EXPIRED

Business

Title

First Name

ANDIA

Middle

MITRI

Last Name

RENZ

Business Name

ANDIA MITRI RENZ MD

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2021

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022