KIRK C HEINOLD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000638

License Status

NOT RENEWED

Business

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

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006