JON A HENDRICKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057060

License Status

ACTIVE

Business

First Name

JON A

Last Name

HENDRICKSON

Suffix

Business Name

JON A HENDRICKSON MD

Original Issue Date

07/19/1978

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/03/2023