CAMILLE ANN HENNINGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151128

License Status

NOT RENEWED

Business

Title

First Name

CAMILLE

Middle

ANN

Last Name

HENNINGER

Business Name

CAMILLE ANN HENNINGER MD

Original Issue Date

10/31/2019

Effective Date

09/03/2020

Expiration Date

07/31/2023

City

SAN DIEGO

State

Zip

92121

Ever Disciplined

LastModifiedDate

11/30/2023