TARA OLIVE HENDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114102

License Status

ACTIVE

Business

First Name

TARA

Middle

OLIVE

Last Name

HENDERSON

Suffix

Business Name

TARA OLIVE HENDERSON MD

Original Issue Date

07/01/2005

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/22/2023