CHARLES RICHARD HEINZMANN III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154075

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

RICHARD

Last Name

HEINZMANN

Suffix

III

Business Name

CHARLES RICHARD HEINZMANN III MD

Original Issue Date

08/24/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

WOODFORD

Ever Disciplined

LastModifiedDate

04/06/2023