NICOLE RENEE' HENRY DO 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

NICOLE

Middle

RENEE'

Last Name

HENRY

Business Name

NICOLE RENEE' HENRY DO

Original Issue Date

09/26/2024

Effective Date

09/26/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024