THEODORE PAUL HEINEMANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045846

License Status

NOT RENEWED

Business

First Name

THEODORE PAUL

Last Name

HEINEMANN

Suffix

Business Name

THEODORE PAUL HEINEMANN MD

Original Issue Date

07/31/1972

Effective Date

07/31/1972

Expiration Date

07/31/1999

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006