STEPHEN LEROY HENNENFENT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

STEPHEN LEROY

Last Name

HENNENFENT

Suffix

Business Name

STEPHEN LEROY HENNENFENT MD

Original Issue Date

04/18/1994

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023