MARY SUSAN HEANEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067715

License Status

INACTIVE

Business

First Name

MARY SUSAN

Last Name

HEANEY

Suffix

Business Name

MARY SUSAN HEANEY MD

Original Issue Date

09/30/1983

Effective Date

09/30/1983

Expiration Date

07/31/1990

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006