BRIAN J HERTZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

HERTZ

Suffix

Business Name

BRIAN J HERTZ MD

Original Issue Date

07/13/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023