HEATHER DIEPERINK OPTHOLT 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

Title

First Name

HEATHER

Middle

DIEPERINK

Last Name

OPTHOLT

Business Name

HEATHER DIEPERINK OPTHOLT MD

Original Issue Date

09/12/2011

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023