JENNIFER LYNN HEITHAUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145302

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

LYNN

Last Name

HEITHAUS

Business Name

JENNIFER LYNN HEITHAUS MD

Original Issue Date

03/14/2018

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

05/19/2023