PATRICK RYAN HENDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144929

License Status

NOT RENEWED

Business

Title

First Name

PATRICK

Middle

RYAN

Last Name

HENDERSON

Business Name

PATRICK RYAN HENDERSON MD

Original Issue Date

01/11/2018

Effective Date

01/11/2018

Expiration Date

09/30/2020

City

SAN DIEGO

State

Zip

92128

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/14/2021