DIANE M HEATON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022365

License Status

EXPIRED

Business

First Name

DIANE M

Last Name

HEATON

Suffix

Business Name

DIANE M HEATON MD

Original Issue Date

05/13/1988

Effective Date

05/13/1988

Expiration Date

06/27/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Therapeutic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006