Ida Heintz Gradolph Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036038692

Status

Expired (Not Renewed)

First issued

September 16, 1963

Expired

July 31, 1999

License holder

Ida Heintz Gradolph Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

09/16/1963

Other Illinois licenses under this name

• IL
  Ida Heintz Gradolph Md

  License 33*****05

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Chicago, IL

  Expired Jul 31, 1999

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