JUSTINE ELODIA HENAO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166263

License Status

ACTIVE

Business

Title

First Name

JUSTINE

Middle

ELODIA

Last Name

HENAO

Business Name

JUSTINE ELODIA HENAO DO

Original Issue Date

08/02/2023

Effective Date

08/02/2023

Expiration Date

07/31/2026

City

BETHANY

State

Zip

06524

Ever Disciplined

LastModifiedDate

08/02/2023