DAN S HEFFEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

CANCELLED

Business

First Name

DAN S

Last Name

HEFFEZ

Suffix

Business Name

DAN S HEFFEZ MD

Original Issue Date

09/21/1990

Effective Date

09/21/1990

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020