KEVIN ALAN HEATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

ALAN

Last Name

HEATH

Business Name

KEVIN ALAN HEATH MD

Original Issue Date

07/02/2019

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023