CHARLES ANDREW HEISKELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043398

License Status

NOT RENEWED

Business

First Name

CHARLES ANDREW

Last Name

HEISKELL

Suffix

Business Name

CHARLES ANDREW HEISKELL MD

Original Issue Date

06/30/1970

Effective Date

06/30/1970

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006