HEIDI E TOWNSEND Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029817

License Status

EXPIRED

Business

First Name

HEIDI E

Last Name

TOWNSEND

Business Name

HEIDI E TOWNSEND

Original Issue Date

05/24/1993

Effective Date

05/24/1993

Expiration Date

06/30/1996

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006