HEIDI CHI QUIN SO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138509

License Status

NOT RENEWED

Business

Title

First Name

HEIDI

Middle

CHI QUIN

Last Name

Business Name

HEIDI CHI QUIN SO MD

Original Issue Date

06/30/2015

Effective Date

06/30/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017