DA HEA SEO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131868

License Status

NOT RENEWED

Business

Title

First Name

Middle

HEA

Last Name

SEO

Business Name

DA HEA SEO MD

Original Issue Date

12/20/2012

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017