CHARLES GERRY HENDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

GERRY

Last Name

HENDERSON

Business Name

CHARLES GERRY HENDERSON MD

Original Issue Date

08/29/2022

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

PENSACOLA

State

Zip

32501

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023