RICHARD C HENDRICKS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

RICHARD C

Last Name

HENDRICKS

Suffix

DDS

Business Name

RICHARD C HENDRICKS DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005