NANCY HEADEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

NANCY

Last Name

HEADEN

Suffix

Business Name

NANCY HEADEN MD

Original Issue Date

09/30/1981

Effective Date

09/30/1981

Expiration Date

07/31/1999

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006