BRUCE WILLIAM HENDRICKSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057402

License Status

NOT RENEWED

Business

First Name

BRUCE WILLIAM

Last Name

HENDRICKSEN

Suffix

Business Name

BRUCE WILLIAM HENDRICKSEN MD

Original Issue Date

08/21/1978

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

11/30/2023