MARY SUSAN HEANEY MD - Medical Doctor License in Missouri | # 036067715

MARY SUSAN HEANEY MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067715

License Status

INACTIVE

Business

N

First Name

MARY SUSAN

Last Name

HEANEY

Suffix

MD

Business Name

MARY SUSAN HEANEY MD

Original Issue Date

09/30/1983

Effective Date

09/30/1983

Expiration Date

07/31/1990

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006