TINA J HIEKEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

TINA J

Last Name

HIEKEN

Business Name

TINA J HIEKEN

Original Issue Date

05/02/1991

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017