MARY A HEGENBARTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015853

License Status

EXPIRED

Business

First Name

MARY A

Last Name

HEGENBARTH

Suffix

Business Name

MARY A HEGENBARTH MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/22/1985

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006