STEPHEN JOHN HEANEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101848

License Status

INACTIVE

Business

First Name

STEPHEN

Middle

JOHN

Last Name

HEANEY

Suffix

Business Name

STEPHEN JOHN HEANEY MD

Original Issue Date

01/27/2000

Effective Date

01/27/2000

Expiration Date

07/31/2002

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006