MICHAEL EDWARD HERZOG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

EDWARD

Last Name

HERZOG

Suffix

Business Name

MICHAEL EDWARD HERZOG MD

Original Issue Date

07/11/2002

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023