HEIDI E TOWNSEND Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

HEIDI E

Last Name

TOWNSEND

Business Name

HEIDI E TOWNSEND

Original Issue Date

12/08/1995

Effective Date

12/08/1995

Expiration Date

07/31/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006