Marie Annette Herzog

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085005540

Status

Expired (Not Renewed)

First issued

July 10, 2015

Expired

March 1, 2018

License holder

Marie Annette Herzog

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/10/2016

Other Illinois licenses under this name

• IL
  Marie Annette Herzog

  License 38*****45

  Physician Assistant Controlled Substance
  Expired

  Pekin, IL

  Expired Mar 1, 2018

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