HEIDI LYNN BARUCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

HEIDI

Middle

LYNN

Last Name

BARUCH

Suffix

Business Name

HEIDI LYNN BARUCH MD

Original Issue Date

03/24/1994

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/27/2023