JASON SHROUDER-HENRY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

JASON

Last Name

SHROUDER-HENRY

Business Name

JASON SHROUDER-HENRY MD

Original Issue Date

06/08/2020

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023