MARVIN H HEIMLICH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****34

License Status

NOT RENEWED

Business

First Name

MARVIN

Middle

Last Name

HEIMLICH

Suffix

Business Name

MARVIN H HEIMLICH OD

Original Issue Date

06/05/1996

Effective Date

03/09/2022

Expiration Date

03/31/2024

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025