CHANTAL D HENDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085399

License Status

NOT RENEWED

Business

First Name

CHANTAL D

Last Name

HENDERSON

Suffix

Business Name

CHANTAL D HENDERSON MD

Original Issue Date

09/25/1992

Effective Date

09/25/1992

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006