MARIE OLIVA HENNELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164296

License Status

ACTIVE

Business

Title

First Name

MARIE

Middle

OLIVA

Last Name

HENNELLY

Business Name

MARIE OLIVA HENNELLY MD

Original Issue Date

04/10/2023

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

MEMPHIS

State

Zip

38104

Ever Disciplined

LastModifiedDate

03/14/2023