KENNETH OLIVER HENDRICKS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039995

License Status

INACTIVE

Business

First Name

KENNETH OLIVER

Last Name

HENDRICKS

Suffix

Business Name

KENNETH OLIVER HENDRICKS MD

Original Issue Date

08/20/1965

Effective Date

08/20/1965

Expiration Date

07/31/1987

City

THOUSAND OAKS

State

Zip

91360

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006