KYLE JOSEPH HENNEBERRY MD - Medical Doctor License in Washington | # 036117425

KYLE JOSEPH HENNEBERRY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117425

License Status

NOT RENEWED

Business

N

First Name

KYLE

Middle

JOSEPH

Last Name

HENNEBERRY

Suffix

MD

Business Name

KYLE JOSEPH HENNEBERRY MD

Original Issue Date

01/08/2007

Effective Date

09/14/2020

Expiration Date

07/31/2023

State

WA

Ever Disciplined

N

LastModifiedDate

11/30/2023