LAURENCE ARNOLD HEINEMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

CANCELLED

Business

First Name

LAURENCE

Middle

ARNOLD

Last Name

HEINEMAN

Suffix

Business Name

LAURENCE ARNOLD HEINEMAN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006