ANGEL HEREDIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

ANGEL

Last Name

HEREDIA

Suffix

Business Name

ANGEL HEREDIA MD

Original Issue Date

06/24/1989

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

WAYNE

State

Zip

60184

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023