KELLY MICHELLE HENRY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056308

License Status

CANCELLED

Business

Title

First Name

KELLY

Middle

MICHELLE

Last Name

HENRY

Business Name

KELLY MICHELLE HENRY MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

04/24/2009