DOUGLAS EDWIN HENRICH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105187

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

EDWIN

Last Name

HENRICH

Suffix

Business Name

DOUGLAS EDWIN HENRICH MD

Original Issue Date

07/11/2001

Effective Date

07/11/2001

Expiration Date

07/31/2005

City

BURLINGTON

State

Zip

52601

County

IOWA

Ever Disciplined

LastModifiedDate

08/18/2009