THOMAS A HEISCHMIDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

HEISCHMIDT

Suffix

Business Name

THOMAS A HEISCHMIDT MD

Original Issue Date

06/18/1998

Effective Date

06/18/1998

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020