STEPHEN JOHN HEANEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

CANCELLED

Business

First Name

STEPHEN

Middle

JOHN

Last Name

HEANEY

Suffix

Business Name

STEPHEN JOHN HEANEY MD

Original Issue Date

05/04/2000

Effective Date

05/04/2000

Expiration Date

07/31/2002

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006