MICHALA LE'ANDREA HENDERSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083565

License Status

ACTIVE

Business

Title

First Name

MICHALA

Middle

LE'ANDREA

Last Name

HENDERSON

Business Name

MICHALA LE'ANDREA HENDERSON DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/09/2024