ANDREW JON HERITCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

ANDREW

Middle

JON

Last Name

HERITCH

Suffix

Business Name

ANDREW JON HERITCH MD

Original Issue Date

05/09/2001

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023