JENNIFER LYNN HEITHAUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

LYNN

Last Name

HEITHAUS

Business Name

JENNIFER LYNN HEITHAUS MD

Original Issue Date

07/30/2018

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63109

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023