DAN MICHAEL HECIMOVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

DAN

Middle

MICHAEL

Last Name

HECIMOVICH

Suffix

Business Name

DAN MICHAEL HECIMOVICH MD

Original Issue Date

02/22/2008

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

RICHMOND

State

Zip

47374

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017