MELINDA BETH HENNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159262

License Status

NOT RENEWED

Business

Title

First Name

MELINDA

Middle

BETH

Last Name

HENNE

Business Name

MELINDA BETH HENNE MD

Original Issue Date

01/25/2022

Effective Date

01/25/2022

Expiration Date

07/31/2023

City

JACKSONVILLE

State

Zip

32225

Ever Disciplined

LastModifiedDate

11/30/2023