ELIZABETH R HEIDEMAN OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****66

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

Last Name

HEIDEMAN

Business Name

ELIZABETH R HEIDEMAN OD

Original Issue Date

09/12/2011

Effective Date

03/06/2026

Expiration Date

03/31/2028

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/06/2026