TIM D HEILENBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

TIM D

Last Name

HEILENBACH

Suffix

Business Name

TIM D HEILENBACH MD

Original Issue Date

07/13/1994

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023