CHARLES RICHARD HERON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000193

License Status

EXPIRED

Business

Title

First Name

CHARLES

Middle

RICHARD

Last Name

HERON

Business Name

CHARLES RICHARD HERON MD

Original Issue Date

12/02/1992

Effective Date

12/02/1992

Expiration Date

05/28/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006