HEIDE H MOELING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098661

License Status

NOT RENEWED

Business

First Name

HEIDE

Middle

Last Name

MOELING

Suffix

Business Name

HEIDE H MOELING MD

Original Issue Date

08/12/1998

Effective Date

08/12/1998

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006