JENNIFER M HEITKAMP Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029148

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

Last Name

HEITKAMP

Business Name

JENNIFER M HEITKAMP

Original Issue Date

09/18/1992

Effective Date

09/18/1992

Expiration Date

09/20/1995

City

CHICAGO

State

Zip

60651

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006