KEVIN MATTHEW HENRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114669

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

MATTHEW

Last Name

HENRY

Suffix

Business Name

KEVIN MATTHEW HENRY MD

Original Issue Date

09/28/2005

Effective Date

07/30/2020

Expiration Date

07/31/2023

City

MESA

State

Zip

85212

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023