RONALD STEPHEN HEINLEN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****19

License Status

NOT RENEWED

Business

First Name

RONALD STEPHEN

Last Name

HEINLEN

Business Name

RONALD STEPHEN HEINLEN

Original Issue Date

04/21/1999

Effective Date

02/06/2004

Expiration Date

03/31/2006

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006