GARY MICHAEL HENDRICKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165238

License Status

ACTIVE

Business

Title

First Name

GARY

Middle

MICHAEL

Last Name

HENDRICKS

Business Name

GARY MICHAEL HENDRICKS MD

Original Issue Date

06/16/2023

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/16/2023