MARK R HENRY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019666

License Status

EXPIRED

Business

First Name

MARK R

Last Name

HENRY

Suffix

Business Name

MARK R HENRY MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

07/01/1989

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006