GARY I HENDRICKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066462

License Status

NOT RENEWED

Business

First Name

GARY I

Last Name

HENDRICKER

Suffix

Business Name

GARY I HENDRICKER MD

Original Issue Date

05/04/1983

Effective Date

05/04/1983

Expiration Date

07/31/1993

City

TALLAPOOSA

State

Zip

30176

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006