JOHN PERRIN HENDERSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

CANCELLED

Business

First Name

JOHN PERRIN

Last Name

HENDERSON

Suffix

Business Name

JOHN PERRIN HENDERSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008