THOMAS JONATHAN HERTEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

JONATHAN

Last Name

HERTEL

Business Name

THOMAS JONATHAN HERTEL MD

Original Issue Date

06/08/2015

Effective Date

06/08/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017