MARK LEONARD HELLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047555

License Status

EXPIRED

Business

First Name

MARK

Middle

LEONARD

Last Name

HELLER

Suffix

Business Name

MARK LEONARD HELLER MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2005

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006