MITCHELL EUGENE HEUN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

CANCELLED

Business

First Name

MITCHELL

Middle

EUGENE

Last Name

HEUN

Suffix

Business Name

MITCHELL EUGENE HEUN MD

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

07/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006