KENNETH S HEIFERMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

KENNETH S

Last Name

HEIFERMAN

Suffix

Business Name

KENNETH S HEIFERMAN MD

Original Issue Date

11/08/1984

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023