HEIDI J KORSTAD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014869

License Status

EXPIRED

Business

First Name

HEIDI

Middle

Last Name

KORSTAD

Business Name

HEIDI J KORSTAD

Original Issue Date

07/28/1982

Effective Date

07/28/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006