HEIDI JOY WHITAKER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057140

License Status

CANCELLED

Business

First Name

HEIDI

Middle

JOY

Last Name

WHITAKER

Suffix

Business Name

HEIDI JOY WHITAKER MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/24/2009