ELIZABETH BERNDT HENSCHEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063454

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Middle

BERNDT

Last Name

HENSCHEN

Business Name

ELIZABETH BERNDT HENSCHEN DO

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014