HEIDI M KOENIG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

HEIDI M

Last Name

KOENIG

Suffix

Business Name

HEIDI M KOENIG MD

Original Issue Date

09/11/1987

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

LOUISVILLE

State

Zip

40202

County

KENTUCKY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020