DAVID A HENRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077330

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

HENRY

Suffix

Business Name

DAVID A HENRY MD

Original Issue Date

07/09/1988

Effective Date

05/19/2017

Expiration Date

09/30/2020

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/11/2024