HEIDI KRISTINE HENRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120201

License Status

NOT RENEWED

Business

Title

First Name

HEIDI

Middle

KRISTINE

Last Name

HENRY

Business Name

HEIDI KRISTINE HENRY MD

Original Issue Date

02/27/2008

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/14/2021