GARY I HENDRICKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

GARY I

Last Name

HENDRICKER

Suffix

Business Name

GARY I HENDRICKER MD

Original Issue Date

06/28/1983

Effective Date

06/28/1983

Expiration Date

07/31/1987

City

HAVANA

State

Zip

62644

County

MASON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006