SETH ALEXANDER KIRSCH HEITHAUS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076247

License Status

EXPIRED

Business

First Name

SETH

Middle

ALEXANDER KIRSCH

Last Name

HEITHAUS

Business Name

SETH ALEXANDER KIRSCH HEITHAUS

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024