REGINA HEYL DEPIETRO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070887

License Status

CANCELLED

Business

Title

First Name

REGINA

Middle

HEYL

Last Name

DEPIETRO

Business Name

REGINA HEYL DEPIETRO MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

12/11/2020

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/16/2020