CHARLES RICHARD HEINZMANN III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

RICHARD

Last Name

HEINZMANN

Suffix

III

Business Name

CHARLES RICHARD HEINZMANN III MD

Original Issue Date

09/11/2020

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023