JOHN T HEIDRICK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022946

License Status

EXPIRED

Business

First Name

JOHN T

Last Name

HEIDRICK

Suffix

Business Name

JOHN T HEIDRICK DO

Original Issue Date

06/29/1988

Effective Date

06/29/1988

Expiration Date

07/01/1991

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006