ELISE HEERINGA HART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142333

License Status

NOT RENEWED

Business

Title

First Name

ELISE

Middle

HEERINGA

Last Name

HART

Business Name

ELISE HEERINGA HART MD

Original Issue Date

02/03/2017

Effective Date

07/16/2020

Expiration Date

07/31/2023

City

ST PAUL

State

Zip

55105

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023