CHARMAINE M HENNES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

CHARMAINE

Middle

Last Name

HENNES

Suffix

Business Name

CHARMAINE M HENNES MD

Original Issue Date

05/03/2007

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023