KURT PHILLIP HEINKING DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

KURT PHILLIP

Last Name

HEINKING

Suffix

Business Name

KURT PHILLIP HEINKING DO

Original Issue Date

05/19/1997

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

DARIEN

State

Zip

60561

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023