DIANE M HEATON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081618

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

HEATON

Suffix

Business Name

DIANE M HEATON MD

Original Issue Date

10/10/1990

Effective Date

10/10/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2013