EDWARD J HEINISCH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****29

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

HEINISCH

Business Name

EDWARD J HEINISCH

Original Issue Date

03/18/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006