JAMES GARY HEIDENREICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057024

License Status

NOT RENEWED

Business

First Name

JAMES GARY

Last Name

HEIDENREICH

Suffix

Business Name

JAMES GARY HEIDENREICH MD

Original Issue Date

07/13/1978

Effective Date

07/13/1978

Expiration Date

07/31/1987

City

PENSACOLA

State

Zip

32504

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006