CAROLYN ROBERTA HERON MD Medical Doctor License verification

CAROLYN ROBERTA HERON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

ROBERTA

Last Name

HERON

Suffix

Business Name

CAROLYN ROBERTA HERON MD

Original Issue Date

01/11/1983

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017

Case Number

2008003953

Action

Suspension

Discipline Start Date

05/27/2009

Discipline End Date

11/26/2009

Discipline Reason

after prescribed without adequate medical records.