SUSAN MICHELLE HECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150862

License Status

NOT RENEWED

Business

Title

First Name

SUSAN

Middle

MICHELLE

Last Name

HECKER

Business Name

SUSAN MICHELLE HECKER MD

Original Issue Date

09/26/2019

Effective Date

09/26/2019

Expiration Date

09/30/2020

City

LAKEWOOD

State

Zip

98499

Ever Disciplined

LastModifiedDate

01/14/2021