CAROL KENNEDY HEIDMANN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060867

License Status

NOT RENEWED

Business

First Name

CAROL KENNEDY

Last Name

HEIDMANN

Business Name

CAROL KENNEDY HEIDMANN

Original Issue Date

09/11/1980

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021