HEATHER M PRENDERGAST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

HEATHER M

Last Name

PRENDERGAST

Suffix

Business Name

HEATHER M PRENDERGAST MD

Original Issue Date

03/17/1997

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023