STEVEN MICHAEL HENRIQUES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056912

License Status

EXPIRED

Business

Title

First Name

STEVEN

Middle

MICHAEL

Last Name

HENRIQUES

Business Name

STEVEN MICHAEL HENRIQUES MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/13/2015