JAIMIE M HENDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

JAIMIE M

Last Name

HENDERSON

Suffix

Business Name

JAIMIE M HENDERSON MD

Original Issue Date

05/06/1996

Effective Date

05/06/1996

Expiration Date

07/31/2002

City

DUQUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006