JUSTIN GRANT HEPKER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058364

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Middle

GRANT

Last Name

HEPKER

Business Name

JUSTIN GRANT HEPKER MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/19/2010