JOSE AUGUSTO HENAO CORREA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069072

License Status

CANCELLED

Business

Title

First Name

JOSE

Middle

AUGUSTO

Last Name

HENAO CORREA

Business Name

JOSE AUGUSTO HENAO CORREA MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/09/2016