HEIDI B RENNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046302

License Status

EXPIRED

Business

Title

First Name

HEIDI

Middle

Last Name

RENNER

Business Name

HEIDI B RENNER MD

Original Issue Date

06/22/2003

Effective Date

06/22/2003

Expiration Date

06/21/2006

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/22/2006