MARK J HENSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

HENSON

Business Name

MARK J HENSON

Original Issue Date

05/04/1999

Effective Date

05/04/1999

Expiration Date

01/31/2001

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006