MITCHELL LOUIS HEUERMANN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071931

License Status

CANCELLED

Business

Title

First Name

MITCHELL

Middle

LOUIS

Last Name

HEUERMANN

Business Name

MITCHELL LOUIS HEUERMANN MD

Original Issue Date

06/25/2021

Effective Date

06/25/2021

Expiration Date

06/24/2023

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

02/11/2021