ELLEN M HENNECKE DO SC - Medical Corporation License in Illinois | # 042617477

ELLEN M HENNECKE DO SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617477

License Status

NOT RENEWED

Business

Y

Business Name

ELLEN M HENNECKE DO SC

Original Issue Date

09/26/2001

Effective Date

01/08/2019

Expiration Date

01/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023