DOUGLAS JON HENDRICKS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096783

License Status

NOT RENEWED

Business

First Name

DOUGLAS JON

Last Name

HENDRICKS

Business Name

DOUGLAS JON HENDRICKS

Original Issue Date

10/06/1997

Effective Date

10/06/1997

Expiration Date

07/31/2002

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006