HEIDI ELIZABETH CHATHAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057086

License Status

CANCELLED

Business

Title

First Name

HEIDI

Middle

ELIZABETH

Last Name

CHATHAM

Business Name

HEIDI ELIZABETH CHATHAM MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/21/2009