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*****08

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

08/24/1987

Effective Date

05/25/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014