JOHN P HENRETTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093891

License Status

NOT RENEWED

Business

First Name

JOHN P

Last Name

HENRETTA

Suffix

Business Name

JOHN P HENRETTA MD

Original Issue Date

08/07/1996

Effective Date

08/07/1996

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006