DENNIS HEIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

CANCELLED

Business

First Name

DENNIS

Last Name

HEIM

Suffix

Business Name

DENNIS HEIM MD

Original Issue Date

03/28/1985

Effective Date

03/28/1985

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020