JACK GEORGE HENDERSHOT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

JACK GEORGE

Last Name

HENDERSHOT JR

Suffix

Business Name

JACK GEORGE HENDERSHOT JR MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006