LEO MERRILL HENIKOFF JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039117

License Status

NOT RENEWED

Business

First Name

LEO MERRILL

Last Name

HENIKOFF JR

Suffix

Business Name

LEO MERRILL HENIKOFF JR MD

Original Issue Date

06/30/1964

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017