JOSHUA TIMOTHY KLUETZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

TIMOTHY

Last Name

KLUETZ

Suffix

Business Name

JOSHUA TIMOTHY KLUETZ DO

Original Issue Date

04/08/2010

Effective Date

12/22/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014