HEATHER MECHELLE CLOUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

HEATHER

Middle

MECHELLE

Last Name

CLOUM

Business Name

HEATHER MECHELLE CLOUM MD

Original Issue Date

02/21/2025

Effective Date

02/21/2025

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/21/2025