HANS JONATHAN HENRIQUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

HANS

Middle

JONATHAN

Last Name

HENRIQUEZ

Prefix

Business Name

HANS JONATHAN HENRIQUEZ MD

Original Issue Date

05/05/2017

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023