DOUGLAS JON HENDRICKS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

DOUGLAS JON

Last Name

HENDRICKS

Business Name

DOUGLAS JON HENDRICKS

Original Issue Date

09/28/1998

Effective Date

09/28/1998

Expiration Date

07/31/2002

City

HAZEL CREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006