HEATHER DIEPERINK OPTHOLT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051190

License Status

EXPIRED

Business

Title

First Name

HEATHER

Middle

DIEPERINK

Last Name

OPTHOLT

Business Name

HEATHER DIEPERINK OPTHOLT MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/15/2009