Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****06

NOT RENEWED

N

MD

BENJAMIN

THOMAS

HEATWOLE

BENJAMIN THOMAS HEATWOLE MD

04/19/2013

05/04/2020

07/31/2023

WINFIELD

IL

60190

DUPAGE

PRACTITIONER

II III IV V

N

11/30/2023