EILEEN E HEFFERNAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

EILEEN E

Last Name

HEFFERNAN

Business Name

EILEEN E HEFFERNAN

Original Issue Date

05/31/1991

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023