JOHN T HEIDRICK DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079039

License Status

INACTIVE

Business

First Name

JOHN T

Last Name

HEIDRICK

Suffix

Business Name

JOHN T HEIDRICK DO

Original Issue Date

06/17/1989

Effective Date

06/17/1989

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006