KATHERINE ELIZABETH HERZOG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

KATHERINE

Middle

ELIZABETH

Last Name

HERZOG

Business Name

KATHERINE ELIZABETH HERZOG MD

Original Issue Date

07/27/2017

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023