DWAYNE R HEITMILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118491

License Status

NOT RENEWED

Business

First Name

DWAYNE

Middle

Last Name

HEITMILLER

Suffix

Business Name

DWAYNE R HEITMILLER MD

Original Issue Date

05/25/2007

Effective Date

06/09/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011