MARLENE K HENZE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029573

License Status

EXPIRED

Business

First Name

MARLENE K

Last Name

HENZE

Suffix

Business Name

MARLENE K HENZE MD

Original Issue Date

05/12/1993

Effective Date

05/12/1993

Expiration Date

06/21/1996

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006