GLENN CHARLES HENRIKSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063101

License Status

NOT RENEWED

Business

First Name

GLENN CHARLES

Last Name

HENRIKSON

Suffix

Business Name

GLENN CHARLES HENRIKSON DO

Original Issue Date

08/27/1981

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

LEMONT

State

Zip

60439

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017