CHARLOTTE ANNE HEIDENREICH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067142

License Status

NOT RENEWED

Business

First Name

CHARLOTTE ANNE

Last Name

HEIDENREICH

Business Name

CHARLOTTE ANNE HEIDENREICH

Original Issue Date

08/02/1983

Effective Date

08/02/1983

Expiration Date

07/31/1990

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/15/2014