BRIAN J HETTRICK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

HETTRICK

Business Name

BRIAN J HETTRICK

Original Issue Date

11/17/1997

Effective Date

11/17/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020