BRIAN M HUETTL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

HUETTL

Suffix

Business Name

BRIAN M HUETTL MD

Original Issue Date

05/29/1996

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

ANN ARBOR

State

Zip

48105

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023