JERRY DAVID HEATH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032321

License Status

INACTIVE

Business

First Name

JERRY DAVID

Last Name

HEATH

Suffix

Business Name

JERRY DAVID HEATH MD

Original Issue Date

09/03/1953

Effective Date

09/03/1953

Expiration Date

07/31/2002

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

10/09/2006