NATHANAEL DAVID HECKMANN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

NATHANAEL

Middle

DAVID

Last Name

HECKMANN

Business Name

NATHANAEL DAVID HECKMANN

Original Issue Date

02/28/2018

Effective Date

02/28/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021