THOMAS HEINAM PAE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

THOMAS

Middle

HEINAM

Last Name

PAE

Suffix

Business Name

THOMAS HEINAM PAE MD

Original Issue Date

07/02/2003

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023