LEO MERRILL HENIKOFF JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

LEO MERRILL

Last Name

HENIKOFF JR

Suffix

Business Name

LEO MERRILL HENIKOFF JR MD

Original Issue Date

02/14/1985

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017