HEIDI V HUCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077691

License Status

NOT RENEWED

Business

Title

First Name

HEIDI

Middle

Last Name

HUCK

Business Name

HEIDI V HUCK MD

Original Issue Date

08/20/1988

Effective Date

11/07/2014

Expiration Date

07/31/2017

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

11/01/2017