ELISABETH HEIBERG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066360

License Status

INACTIVE

Business

First Name

ELISABETH

Last Name

HEIBERG

Suffix

Business Name

ELISABETH HEIBERG MD

Original Issue Date

04/11/1983

Effective Date

04/11/1983

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006