HENRY DENNIS MOLLMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121197

License Status

NOT RENEWED

Business

Title

First Name

HENRY

Middle

DENNIS

Last Name

MOLLMAN

Business Name

HENRY DENNIS MOLLMAN MD

Original Issue Date

06/18/2008

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2011