THERESA ANNE HEGGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054417

License Status

EXPIRED

Business

Title

First Name

THERESA

Middle

ANNE

Last Name

HEGGE

Business Name

THERESA ANNE HEGGE MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

03/13/2015