STEPHANIE E HEAVEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111494

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

HEAVEY

Business Name

STEPHANIE E HEAVEY

Original Issue Date

05/27/2004

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2011