MICHAEL S HENNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024306

License Status

EXPIRED

Business

First Name

MICHAEL S

Last Name

HENNER

Business Name

MICHAEL S HENNER

Original Issue Date

07/01/1989

Effective Date

07/01/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006