MICHAEL N HEINRICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

HEINRICH

Business Name

MICHAEL N HEINRICH

Original Issue Date

12/19/2002

Effective Date

12/19/2002

Expiration Date

03/01/2008

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008