MARLENE K HENZE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093007

License Status

ACTIVE

Business

First Name

MARLENE K

Last Name

HENZE

Suffix

Business Name

MARLENE K HENZE MD

Original Issue Date

06/03/1996

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

06/13/2023

Case Number

2016003435

Action

Suspension

Discipline Start Date

07/01/2016

Discipline End Date

08/10/2016

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 08/11/2016.