GARY I HENDRICKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013302

License Status

EXPIRED

Business

First Name

GARY I

Last Name

HENDRICKER

Suffix

Business Name

GARY I HENDRICKER MD

Original Issue Date

07/14/1981

Effective Date

07/14/1981

Expiration Date

07/01/1983

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006