KURT PHILLIP HEINKING DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030890

License Status

EXPIRED

Business

First Name

KURT PHILLIP

Last Name

HEINKING

Suffix

Business Name

KURT PHILLIP HEINKING DO

Original Issue Date

04/28/1994

Effective Date

04/28/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006