ELLEN M HENNECKE DO SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617477

License Status

NOT RENEWED

Business

Business Name

ELLEN M HENNECKE DO SC

Original Issue Date

09/26/2001

Effective Date

01/08/2019

Expiration Date

01/01/2022

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2023