KAMMI JOY HENRIKSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052685

License Status

CANCELLED

Business

First Name

KAMMI

Middle

JOY

Last Name

HENRIKSEN

Suffix

Business Name

KAMMI JOY HENRIKSEN MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/08/2007