ANJALI SHIRISH HENRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

ANJALI

Middle

SHIRISH

Last Name

HENRY

Business Name

ANJALI SHIRISH HENRY MD

Original Issue Date

08/19/2010

Effective Date

10/19/2011

Expiration Date

07/31/2014

City

EMMETSBURG

State

Zip

50536

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014