HEIDI V HUCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

Title

First Name

HEIDI

Middle

Last Name

HUCK

Business Name

HEIDI V HUCK MD

Original Issue Date

11/07/2014

Effective Date

11/07/2014

Expiration Date

07/31/2017

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017