RICHARD ELLIOTT HELLER III MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000584

License Status

EXPIRED

Business

Title

First Name

RICHARD

Middle

ELLIOTT

Last Name

HELLER

Suffix

III

Business Name

RICHARD ELLIOTT HELLER III MD

Original Issue Date

07/14/2003

Effective Date

07/14/2003

Expiration Date

01/13/2004

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

Pediatric Radiology

Ever Disciplined

LastModifiedDate

09/25/2006