STEVEN THOMAS HEIDT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075759

License Status

CANCELLED

Business

Title

First Name

STEVEN

Middle

THOMAS

Last Name

HEIDT

Business Name

STEVEN THOMAS HEIDT MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/23/2020