CHRISTINE ELIZABETH HENRICHS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

CHRISTINE

Middle

ELIZABETH

Last Name

HENRICHS

Suffix

Business Name

CHRISTINE ELIZABETH HENRICHS MD

Original Issue Date

06/03/2004

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023