MARY KATHLEEN A HENEGHAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

MARY KATHLEEN

Middle

Last Name

HENEGHAN

Business Name

MARY KATHLEEN A HENEGHAN

Original Issue Date

08/04/2006

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023