HANNAH GRACE STATZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

HANNAH

Middle

GRACE

Last Name

STATZ

Business Name

HANNAH GRACE STATZ MD

Original Issue Date

12/14/2020

Effective Date

12/14/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023