SEAN CHARLES HENNON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073364

License Status

CANCELLED

Business

Title

First Name

SEAN

Middle

CHARLES

Last Name

HENNON

Business Name

SEAN CHARLES HENNON DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/12/2021