BRIAN D HERTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

BRIAN D

Last Name

HERTZ

Suffix

Business Name

BRIAN D HERTZ MD

Original Issue Date

01/15/1986

Effective Date

01/15/1986

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006