LINDA ELLEN HERTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112477

License Status

NOT RENEWED

Business

First Name

LINDA

Middle

ELLEN

Last Name

HERTZ

Suffix

Business Name

LINDA ELLEN HERTZ MD

Original Issue Date

10/05/2004

Effective Date

10/05/2004

Expiration Date

07/31/2005

City

RESTON

State

Zip

20190

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/09/2006