TAYLOR K HENDRICKSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001329

License Status

EXPIRED

Business

Title

First Name

TAYLOR

Middle

Last Name

HENDRICKSON

Business Name

TAYLOR K HENDRICKSON DO

Original Issue Date

09/22/2020

Effective Date

09/22/2020

Expiration Date

03/22/2021

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/20/2021