HEATHER MARIE AMOS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050063

License Status

EXPIRED

Business

First Name

HEATHER

Middle

MARIE

Last Name

AMOS

Suffix

Business Name

HEATHER MARIE AMOS DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

09/22/2006