PATRICK WALTER HEINTZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159103

License Status

ACTIVE

Business

Title

First Name

PATRICK

Middle

WALTER

Last Name

HEINTZ

Business Name

PATRICK WALTER HEINTZ MD

Original Issue Date

01/04/2022

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PEWAUKEE

State

Zip

53072

Ever Disciplined

LastModifiedDate

04/07/2023