Benjamin P Kietzman Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036042271

Status

Inactive

First issued

December 20, 1968

Expired

July 31, 2005

License holder

Benjamin P Kietzman Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

12/20/1968

Other Illinois licenses under this name

• IL
  Benjamin P Kietzman Md

  License 33*****34

  Licensed Physician Controlled Substance (Medical Board)
  Inactive

  Wheaton, IL

  Expired Jul 31, 2005

Contact