HEATHER M LONGIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117942

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

LONGIN

Business Name

HEATHER M LONGIN

Original Issue Date

03/28/2007

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014