JOSE AUGUSTO HENAO CORREA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149798

License Status

NOT RENEWED

Business

Title

First Name

JOSE

Middle

AUGUSTO

Last Name

HENAO CORREA

Business Name

JOSE AUGUSTO HENAO CORREA MD

Original Issue Date

06/18/2019

Effective Date

06/18/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021