BENJAMIN THOMAS HEATWOLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132531

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

THOMAS

Last Name

HEATWOLE

Business Name

BENJAMIN THOMAS HEATWOLE MD

Original Issue Date

04/19/2013

Effective Date

05/04/2020

Expiration Date

07/31/2023

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023