SHELISE M HENRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

SHELISE

Middle

Last Name

HENRY

Business Name

SHELISE M HENRY MD

Original Issue Date

05/11/2007

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60680

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017