KIRK C HEINOLD - Physician Assistant License in Illinois | # 085000638

KIRK C HEINOLD

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000638

License Status

NOT RENEWED

Business

N

First Name

KIRK C

Last Name

HEINOLD

Business Name

KIRK C HEINOLD

Original Issue Date

12/19/1994

Effective Date

12/19/1994

Expiration Date

03/01/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006