AMY ELIZABETH PETZEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

AMY

Middle

ELIZABETH

Last Name

PETZEL

Suffix

Business Name

AMY ELIZABETH PETZEL MD

Original Issue Date

11/29/2018

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023