RICHARD J HEISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069761

License Status

NOT RENEWED

Business

First Name

RICHARD J

Last Name

HEISS

Suffix

Business Name

RICHARD J HEISS MD

Original Issue Date

10/31/1984

Effective Date

10/31/1984

Expiration Date

07/31/1987

City

BASIN

State

Zip

82410

County

WYOMING

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2002003191

Action

Revocation

Discipline Start Date

12/12/2003

Discipline Reason

Disciplined in California.