ERIC HENLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093112

License Status

NOT RENEWED

Business

First Name

ERIC

Last Name

HENLEY

Suffix

Business Name

ERIC HENLEY MD

Original Issue Date

06/08/1996

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/05/2013