JEREMY WILLIAM HENRICHS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111690

License Status

ACTIVE

Business

First Name

JEREMY

Middle

WILLIAM

Last Name

HENRICHS

Suffix

Business Name

JEREMY WILLIAM HENRICHS MD

Original Issue Date

06/25/2004

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/24/2023