THOMAS D HEIDEWALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087884

License Status

NOT RENEWED

Business

First Name

THOMAS D

Last Name

HEIDEWALD

Suffix

Business Name

THOMAS D HEIDEWALD MD

Original Issue Date

12/21/1993

Effective Date

12/21/1993

Expiration Date

07/31/1999

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/20/2006