HENRY T CO - Medical Doctor License in Illinois | # 125031855

HENRY T CO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031855

License Status

EXPIRED

Business

N

First Name

HENRY

Middle

T

Last Name

CO

Business Name

HENRY T CO

Original Issue Date

06/16/1994

Effective Date

06/16/1994

Expiration Date

06/21/1997

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006