SARI L HEITNER ENSCHEDE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

SARI

Middle

L HEITNER

Last Name

ENSCHEDE

Business Name

SARI L HEITNER ENSCHEDE

Original Issue Date

07/29/1996

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017