ELISE HEERINGA HART MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065514

License Status

CANCELLED

Business

Title

First Name

ELISE

Middle

HEERINGA

Last Name

HART

Business Name

ELISE HEERINGA HART MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/19/2014