EILEEN E HEFFERNAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

EILEEN E

Last Name

HEFFERNAN

Business Name

EILEEN E HEFFERNAN

Original Issue Date

07/22/1994

Effective Date

07/22/1994

Expiration Date

07/31/1996

City

HANOVER PARK

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020