BRET D HENRICKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019810

License Status

EXPIRED

Business

First Name

BRET D

Last Name

HENRICKS

Suffix

Business Name

BRET D HENRICKS MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

07/01/1989

City

LAKELAND

State

Zip

33813

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006