LARRY T HEGLAND MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019263

License Status

EXPIRED

Business

First Name

LARRY T

Last Name

HEGLAND

Suffix

Business Name

LARRY T HEGLAND MD

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

06/24/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006