CHANTAL D HENDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025299

License Status

EXPIRED

Business

First Name

CHANTAL D

Last Name

HENDERSON

Suffix

Business Name

CHANTAL D HENDERSON MD

Original Issue Date

06/05/1990

Effective Date

06/05/1990

Expiration Date

06/30/1993

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006