ALLISON C HEACOCK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127474

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

Last Name

HEACOCK

Business Name

ALLISON C HEACOCK

Original Issue Date

04/06/2011

Effective Date

07/15/2014

Expiration Date

07/31/2017

City

COLUMBUS

State

Zip

43209

County

OHIO

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2011009567

Action

Probation

Discipline Start Date

11/13/2012

Discipline End Date

04/25/2021

Discipline Reason

due to prior discipline by the state of Ohio.