SCOTT ALAN HEINRICH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050021

License Status

EXPIRED

Business

First Name

SCOTT

Middle

ALAN

Last Name

HEINRICH

Business Name

SCOTT ALAN HEINRICH

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/31/2008