MARY KATHLEEN A HENEGHAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048101

License Status

EXPIRED

Business

First Name

MARY KATHLEEN

Middle

Last Name

HENEGHAN

Business Name

MARY KATHLEEN A HENEGHAN

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2007

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/03/2007