CANDRICE RACHELLE HEATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

CANDRICE

Middle

RACHELLE

Last Name

HEATH

Suffix

Business Name

CANDRICE RACHELLE HEATH MD

Original Issue Date

10/13/2010

Effective Date

10/13/2010

Expiration Date

07/31/2011

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011