CANDRICE RACHELLE HEATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

CANDRICE

Middle

RACHELLE

Last Name

HEATH

Suffix

Business Name

CANDRICE RACHELLE HEATH MD

Original Issue Date

09/23/2009

Effective Date

09/23/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011