GRANT J HEYDINGER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067023

License Status

EXPIRED

Business

Title

First Name

GRANT

Middle

Last Name

HEYDINGER

Business Name

GRANT J HEYDINGER MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/02/2019