ROBERT DIETZ TETIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

DIETZ

Last Name

TETIK

Suffix

Business Name

ROBERT DIETZ TETIK MD

Original Issue Date

09/22/2014

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023