HANS JONATHAN HENRIQUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065501

License Status

CANCELLED

Business

Title

First Name

HANS

Middle

JONATHAN

Last Name

HENRIQUEZ

Prefix

Business Name

HANS JONATHAN HENRIQUEZ MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/20/2014