ROBERT A HEAVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

HEAVIN

Suffix

Business Name

ROBERT A HEAVIN MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006