LAUREN ELIZABETH HEABERLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

LAUREN

Middle

ELIZABETH

Last Name

HEABERLIN

Business Name

LAUREN ELIZABETH HEABERLIN MD

Original Issue Date

04/17/2019

Effective Date

04/17/2019

Expiration Date

09/30/2020

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021