JAIMIE M HENDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092654

License Status

NOT RENEWED

Business

First Name

JAIMIE M

Last Name

HENDERSON

Suffix

Business Name

JAIMIE M HENDERSON MD

Original Issue Date

05/02/1996

Effective Date

05/02/1996

Expiration Date

07/31/2002

City

ST LOUIS

State

Zip

63132

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006