DAVID A HENRY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019258

License Status

EXPIRED

Business

First Name

DAVID A

Last Name

HENRY

Suffix

Business Name

DAVID A HENRY MD

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006