GREGORY LYNN HENRY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128351

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

LYNN

Last Name

HENRY

Business Name

GREGORY LYNN HENRY DO

Original Issue Date

07/06/2011

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

11/01/2017