STAFFORD C HENRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

STAFFORD C

Last Name

HENRY

Suffix

Business Name

STAFFORD C HENRY MD

Original Issue Date

07/23/1992

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020