KENNETH ALLEN HEIDA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001154

License Status

EXPIRED

Business

Title

First Name

KENNETH

Middle

ALLEN

Last Name

HEIDA

Business Name

KENNETH ALLEN HEIDA MD

Original Issue Date

04/03/2017

Effective Date

04/03/2017

Expiration Date

07/02/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/19/2017