ELIZABETH T HENDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

ELIZABETH T

Last Name

HENDERSON

Suffix

Business Name

ELIZABETH T HENDERSON MD

Original Issue Date

07/17/1985

Effective Date

07/17/1985

Expiration Date

07/31/1987

City

FARMINGTON

State

Zip

61531

County

FULTON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006