HEIDI DRIES GORSUCH-RAFFERTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

HEIDI

Middle

DRIES

Last Name

GORSUCH-RAFFERTY

Business Name

HEIDI DRIES GORSUCH-RAFFERTY MD

Original Issue Date

03/11/2021

Effective Date

03/11/2021

Expiration Date

07/31/2023

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023