HEIDI WITTENBERG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031894

License Status

EXPIRED

Business

First Name

HEIDI

Last Name

WITTENBERG

Business Name

HEIDI WITTENBERG

Original Issue Date

06/20/1994

Effective Date

06/20/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006