LUCAS SHAWN HENRY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127319

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

SHAWN

Last Name

HENRY

Business Name

LUCAS SHAWN HENRY

Original Issue Date

03/11/2011

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014