CHARLES STEPHEN HENRY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127166

License Status

ACTIVE

Business

First Name

CHARLES

Middle

STEPHEN

Last Name

HENRY

Business Name

CHARLES STEPHEN HENRY

Original Issue Date

02/01/2011

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

06/24/2023