ANGEL HEREDIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078873

License Status

ACTIVE

Business

First Name

ANGEL

Last Name

HEREDIA

Suffix

Business Name

ANGEL HEREDIA MD

Original Issue Date

05/16/1989

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

07/08/2023

Case Number

2011006696

Action

Suspension

Discipline Start Date

10/14/2011

Discipline End Date

11/01/2011

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/03/2011.