KATHERINE ANNE HENDERSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

Title

DMD

First Name

KATHERINE

Middle

ANNE

Last Name

HENDERSON

Business Name

KATHERINE ANNE HENDERSON DMD

Original Issue Date

08/23/2019

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

METAMORA

State

Zip

61548

County

WOODFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024