CHARLOTTE ANNE HEIDENREICH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

CHARLOTTE ANNE

Last Name

HEIDENREICH

Business Name

CHARLOTTE ANNE HEIDENREICH

Original Issue Date

08/30/1983

Effective Date

08/30/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006