BRIAN W HEYWOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

BRIAN W

Last Name

HEYWOOD

Suffix

Business Name

BRIAN W HEYWOOD MD

Original Issue Date

02/05/1991

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021