RICHARD ELLIOTT HELLER III MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040153

License Status

EXPIRED

Business

Title

First Name

RICHARD

Middle

ELLIOTT

Last Name

HELLER

Suffix

III

Business Name

RICHARD ELLIOTT HELLER III MD

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

06/21/2000

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006