ELIZABETH A HEREDIA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

ELIZABETH A

Last Name

HEREDIA

Business Name

ELIZABETH A HEREDIA

Original Issue Date

02/26/1996

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023