DIANE MARIE HEIDMANN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059287

License Status

CANCELLED

Business

Title

First Name

DIANE

Middle

MARIE

Last Name

HEIDMANN

Business Name

DIANE MARIE HEIDMANN MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014