AMY ANDERSON HENNING MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049590

License Status

EXPIRED

Business

First Name

AMY

Middle

ANDERSON

Last Name

HENNING

Suffix

Business Name

AMY ANDERSON HENNING MD

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

06/21/2008

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008