JOHN G HEISE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085420

License Status

NOT RENEWED

Business

First Name

JOHN G

Last Name

HEISE

Suffix

Business Name

JOHN G HEISE MD

Original Issue Date

09/29/1992

Effective Date

09/29/1992

Expiration Date

07/31/1996

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006