MICHAEL DAVID HENRY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068553

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

DAVID

Last Name

HENRY

Business Name

MICHAEL DAVID HENRY MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

05/23/2019