ROY GOMEZ HENDERSON III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

ROY

Middle

GOMEZ

Last Name

HENDERSON

Suffix

III MD

Business Name

ROY GOMEZ HENDERSON III MD

Original Issue Date

05/22/2001

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017