WAYNE F HEIDENREICH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014259

License Status

EXPIRED

Business

First Name

WAYNE F

Last Name

HEIDENREICH

Suffix

Business Name

WAYNE F HEIDENREICH MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/25/1984

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006