HEATHER MARIE MA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062858

License Status

EXPIRED

Business

Title

First Name

HEATHER

Middle

MARIE

Last Name

Business Name

HEATHER MARIE MA MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

07/14/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

09/19/2017