CAROL KENNEDY HEIDMANN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

CAROL KENNEDY

Last Name

HEIDMANN

Business Name

CAROL KENNEDY HEIDMANN

Original Issue Date

01/01/1997

Effective Date

04/14/2014

Expiration Date

07/31/2017

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020