RAYMOND R S HEYDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

RAYMOND R S

Last Name

HEYDE

Suffix

Business Name

RAYMOND R S HEYDE MD

Original Issue Date

04/30/2002

Effective Date

06/29/2017

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021