KENNETH ALLEN VATZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

KENNETH ALLEN

Last Name

VATZ

Suffix

Business Name

KENNETH ALLEN VATZ MD

Original Issue Date

01/01/1997

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020