ERIC ROBERT HEINZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054625

License Status

EXPIRED

Business

Title

First Name

ERIC

Middle

ROBERT

Last Name

HEINZ

Business Name

ERIC ROBERT HEINZ MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/19/2011