ENA ELIZABETH HENNEGAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104573

License Status

ACTIVE

Business

First Name

ENA

Middle

ELIZABETH

Last Name

HENNEGAN

Suffix

Business Name

ENA ELIZABETH HENNEGAN DO

Original Issue Date

04/23/2001

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2023