CHARMAINE M HENNES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047576

License Status

EXPIRED

Business

First Name

CHARMAINE

Middle

Last Name

HENNES

Suffix

Business Name

CHARMAINE M HENNES MD

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2007

City

CHICAGO

State

Zip

60646

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/03/2007