JACQUELINE D HENDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108017

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

HENDERSON

Suffix

Business Name

JACQUELINE D HENDERSON MD

Original Issue Date

10/16/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GOLDEN

State

Zip

80403

Ever Disciplined

LastModifiedDate

04/30/2014

Case Number

2014001438

Action

Refuse To Renew

Discipline Start Date

04/23/2014

Discipline Reason

for sister state discipline in the state of New Mexico