MARK HENSLEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123631

License Status

INACTIVE

Business

Title

First Name

MARK

Last Name

HENSLEY

Business Name

MARK HENSLEY MD

Original Issue Date

06/03/2009

Effective Date

05/19/2017

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

04/05/2020