ROBERT EDWARD HEERENS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

CANCELLED

Business

First Name

ROBERT EDWARD

Last Name

HEERENS

Suffix

Business Name

ROBERT EDWARD HEERENS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006