FREDRICK MICHAEL HETZEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

FREDRICK

Middle

MICHAEL

Last Name

HETZEL

Business Name

FREDRICK MICHAEL HETZEL MD

Original Issue Date

03/18/2022

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023