THOMAS A HEISCHMIDT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033256

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

HEISCHMIDT

Suffix

Business Name

THOMAS A HEISCHMIDT MD

Original Issue Date

06/10/1995

Effective Date

06/10/1995

Expiration Date

06/30/1998

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006