ELIZABETH A HEREDIA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092002

License Status

ACTIVE

Business

First Name

ELIZABETH A

Last Name

HEREDIA

Business Name

ELIZABETH A HEREDIA

Original Issue Date

10/05/1995

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/18/2023