ALEX EDWARD HEATON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060413

License Status

EXPIRED

Business

Title

First Name

ALEX

Middle

EDWARD

Last Name

HEATON

Business Name

ALEX EDWARD HEATON MD

Original Issue Date

06/20/2011

Effective Date

06/20/2011

Expiration Date

06/19/2012

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

08/29/2012