LUKE JOSHUA HEITZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059962

License Status

CANCELLED

Business

Title

First Name

LUKE

Middle

JOSHUA

Last Name

HEITZ

Business Name

LUKE JOSHUA HEITZ MD

Original Issue Date

06/25/2011

Effective Date

06/25/2011

Expiration Date

06/24/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014