Marie Annette Herzog
ExpiredIllinois license 38*****45
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****45
- Status
- Expired (Not Renewed)
- First issued
- July 29, 2015
- Expired
- March 1, 2018
- License holder
- Marie Annette Herzog
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 02/10/2016
Other Illinois licenses under this name
-
IL
ExpiredPeoria, ILExpired Mar 1, 2018
Contact
Pekin, IL 61554
Tazewell County