CHRISTOPHER DALE HENLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055847

License Status

CANCELLED

Business

Title

First Name

CHRISTOPHER

Middle

DALE

Last Name

HENLEY

Business Name

CHRISTOPHER DALE HENLEY MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/05/2009