MICHAEL JOSEPH HENNESSEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027036

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

JOSEPH

Last Name

HENNESSEY

Suffix

Business Name

MICHAEL JOSEPH HENNESSEY MD

Original Issue Date

05/31/1991

Effective Date

05/31/1991

Expiration Date

06/23/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006