LISA MARIA HENDRICKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048492

License Status

EXPIRED

Business

First Name

LISA

Middle

MARIA

Last Name

HENDRICKS

Suffix

Business Name

LISA MARIA HENDRICKS MD

Original Issue Date

04/24/2008

Effective Date

04/24/2008

Expiration Date

04/23/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/29/2009