JOHN G HEISE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

JOHN G

Last Name

HEISE

Suffix

Business Name

JOHN G HEISE MD

Original Issue Date

10/15/1992

Effective Date

10/15/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006