HENRY WELLINGTON DOVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

HENRY WELLINGTON

Last Name

DOVE

Suffix

Business Name

HENRY WELLINGTON DOVE MD

Original Issue Date

11/22/1996

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021