HEIDI V CONNOLLY MD - Medical Doctor License in Illinois | # 125021921

HEIDI V CONNOLLY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021921

License Status

EXPIRED

Business

N

First Name

HEIDI V

Last Name

CONNOLLY

Suffix

MD

Business Name

HEIDI V CONNOLLY MD

Original Issue Date

05/04/1988

Effective Date

05/04/1988

Expiration Date

06/22/1991

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006