LYDIA JEANNETTE HENDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081124

License Status

ACTIVE

Business

Title

First Name

LYDIA

Middle

JEANNETTE

Last Name

HENDERSON

Business Name

LYDIA JEANNETTE HENDERSON MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

03/08/2023