WAYNE F HEIDENREICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068093

License Status

NOT RENEWED

Business

First Name

WAYNE F

Last Name

HEIDENREICH

Suffix

Business Name

WAYNE F HEIDENREICH MD

Original Issue Date

12/20/1983

Effective Date

12/20/1983

Expiration Date

07/31/1990

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006