HEIDI ATWELL COCO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

HEIDI

Middle

ATWELL

Last Name

COCO

Business Name

HEIDI ATWELL COCO DO

Original Issue Date

12/27/2024

Effective Date

12/27/2024

Expiration Date

07/31/2026

City

WILDWOOD

State

Zip

63005

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/27/2024