RONALD LOUIS HEDDERICH 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

Title

First Name

RONALD

Middle

LOUIS

Last Name

HEDDERICH

Business Name

RONALD LOUIS HEDDERICH MD

Original Issue Date

03/05/1993

Effective Date

03/05/1993

Expiration Date

07/31/1996

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006