DOUGLAS L HENDRICKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151135

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

Last Name

HENDRICKS

Business Name

DOUGLAS L HENDRICKS MD

Original Issue Date

11/01/2019

Effective Date

11/01/2019

Expiration Date

09/30/2020

City

NEWPORT BEACH

State

Zip

92660

Ever Disciplined

LastModifiedDate

01/14/2021