RICHARD CARLTON HEITSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044971

License Status

NOT RENEWED

Business

First Name

RICHARD CARLTON

Last Name

HEITSCH

Suffix

Business Name

RICHARD CARLTON HEITSCH MD

Original Issue Date

01/01/1997

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006