MICHAEL JOSEPH HENNESSEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

JOSEPH

Last Name

HENNESSEY

Suffix

Business Name

MICHAEL JOSEPH HENNESSEY MD

Original Issue Date

05/03/1995

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023