ROBERT A HEAVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057059

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

HEAVIN

Suffix

Business Name

ROBERT A HEAVIN MD

Original Issue Date

07/19/1978

Effective Date

07/19/1978

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006