PETER A HENRY Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113654

License Status

INACTIVE

Business

First Name

PETER

Middle

Last Name

HENRY

Business Name

PETER A HENRY

Original Issue Date

05/12/2005

Effective Date

05/22/2008

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011