MICHAEL J HEAVEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115727

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

HEAVEY

Business Name

MICHAEL J HEAVEY

Original Issue Date

04/18/2006

Effective Date

06/02/2008

Expiration Date

07/31/2011

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011