ERIC HENLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

ERIC

Last Name

HENLEY

Suffix

Business Name

ERIC HENLEY MD

Original Issue Date

06/10/1996

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011