HENRI SALOMON HAVDALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

HENRI SALOMON

Last Name

HAVDALA

Suffix

Business Name

HENRI SALOMON HAVDALA MD

Original Issue Date

01/01/1997

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014