JUDITH A O'BRIEN HEYWORTH 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

First Name

JUDITH A

Middle

O'BRIEN

Last Name

HEYWORTH

Suffix

Business Name

JUDITH A O'BRIEN HEYWORTH MD

Original Issue Date

04/04/1986

Effective Date

04/04/1986

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011